Individual
DR. BETSY E NACIM
Active
Individual
DR. BETSY E NACIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
34562
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102984502
—
TX
05
—
102984503
—
TX
01
—
86457Q
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/28/2006
Last updated
06/19/2017
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