Betts, Terri

Betts, Terri is an individual health care provider with primary practice located at 895 Blue Hill Ave , Dorchester Center MA 02124-2902. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Betts, Terri can be contacted via phone (617) 822-0829.

Contact Information

Primary practice address
895 Blue Hill Ave Dorchester Center MA 02124-2902
Phone: (617) 822-0829
Fax: (617) 825-7804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 7441 Massachusetts
Behavioral Health & Social Service Providers / School 103TS0200X 398518 Massachusetts

Profile Details

NPI number 1730392812
LBN Legal business name Betts, Terri
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730392812 NPPES
Massachusetts MEDICAID 0500089
Massachusetts Other W05952
Massachusetts Other 00274669000
Massachusetts Other 008443
Massachusetts Other 1028410
Massachusetts Other 221502102
Massachusetts Other 340429
Massachusetts Other 471006
Massachusetts Other 274669000

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