Individual
THOMAS A BETTIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
5200 W 94TH TER, SUITE 105, PRAIRIE VILLAGE, KS 66207-2502
(913) 649-5567
(913) 649-7563
Mailing address
5200 W 94TH TER, SUITE 105, PRAIRIE VILLAGE, KS 66207-2502
(913) 649-5567
(913) 649-7563
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1373
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27178201
BCBS
KS
Enumeration date
05/16/2007
Last updated
05/26/2011
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