Individual
BETTE A LANDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1689 CROWN AVE, SUITE 4, LANCASTER, PA 17601-6314
(717) 560-4443
(717) 299-0875
Mailing address
1747 SANTA BARBARA DR, LANCASTER, PA 17601-4121
(717) 560-4443
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW014932
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1549616
—
PA
Enumeration date
07/04/2006
Last updated
03/05/2015
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