Healthcare Provider Details

I. General information

NPI: 1730392812
Provider Name (Legal Business Name): TERRI BETTS PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

895 BLUE HILL AVE
DORCHESTER CENTER MA
02124-2902
US

IV. Provider business mailing address

279 WALNUT AVE
ROXBURY MA
02119-1323
US

V. Phone/Fax

Practice location:
  • Phone: 617-822-0829
  • Fax: 617-825-7804
Mailing address:
  • Phone: 617-427-7781
  • Fax: 617-825-7804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number7441
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number398518
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: