Blake Bettis, PSYD

NPI #1003650813 in Madison, Wisconsin

Provider Information

NPI Number: 1003650813
Entity Type: Individual
Name: Blake Bettis, PSYD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSYD
Enumeration Date: Jun 25, 2024
Last Updated: Jun 25, 2024

Practice Location

Address: 1750 FORDEM AVE APT 704
City: Madison
State: Wisconsin
ZIP Code: 53704-7135
Phone: (470) 331-2534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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