Healthcare Provider Details

I. General information

NPI: 1144298035
Provider Name (Legal Business Name): PAULA R. BETTS-REDMOND L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 S RICHARD ST
BEDFORD PA
15522-1745
US

IV. Provider business mailing address

395 QUARRY RD
NEW PARIS PA
15554-8031
US

V. Phone/Fax

Practice location:
  • Phone: 814-623-2191
  • Fax: 814-623-2192
Mailing address:
  • Phone: 814-839-2336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW015225
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: