Individual
BONNIE J. BETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
501 N STATE ST, WASECA MEDICAL CENTER - MAYO HEALTH SYSTEM, WASECA, MN 56093-2811
(507) 835-1210
(507) 837-4280
Mailing address
501 N STATE ST, WASECA MEDICAL CENTER - MAYO HEALTH SYSTEM, WASECA, MN 56093-2811
(507) 835-1210
(507) 837-4280
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0873
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114939
MNCARE-U
MN
01
—
295J6BE
MNCARE
MN
05
—
323553000
—
MN
01
—
HP28643
HEALTH PARTNERS
MN
01
—
NA9501007681
PREFERRED ONE
MN
01
—
P00054204
MEDICARE - RAILROAD
MN
Enumeration date
12/14/2005
Last updated
06/13/2025
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