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NPI Code Detail

MEDICARE: BETSY MENCHER, PH.D. PLLC

MEDICARE: BETSY MENCHER, PH.D. PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1EA27-0000OTHERCAREFIRST BCBS

General Provider Information

NPI Number : 1952900110
Entity Type Code : Organization
Provider Name (Legal Business Name) : BETSY MENCHER, PH.D. PLLC
Provider Business Mailing Address
First Line : 10005 STONEYBROOK DR
Second Line :
City : KENSINGTON
State : MD
Zip : 20895-3152
Country : US
Telephone Number : 202-297-4939
Fax Number :
Provider Business Practice Location Address
First Line : 1350 CONNECTICUT AVE NW STE 500
Second Line :
City : WASHINGTON
State : DC
Zip : 20036-1736
Country : US
Telephone Number : 202-969-2274
Fax Number :
Authorized Official
Title or Position : OWNER
Name : BETSY MENCHER
Credential : PH.D.
Telephone Number : 202-969-2274
Provider Enumeration Date : 10/20/2020
Last Update Date : 10/20/2020

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