Individual
DR. BETTY J. EITEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
700 NE LOOP 820, SUITE 200A, HURST, TX 76053-4634
(817) 905-1277
(817) 887-5821
Mailing address
700 NE LOOP 820, SUITE 200A, HURST, TX 76053-4634
(817) 905-1277
(817) 887-5821
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
31363
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87118A
BCBS
TX
Enumeration date
10/16/2006
Last updated
07/08/2007
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