Individual
DR. BETSY JANE NETTLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
30 N MICHIGAN AVE, 718, CHICAGO, IL 60602-3402
(312) 446-5602
Mailing address
30 N MICHIGAN AVE, 718, CHICAGO, IL 60602-3402
(312) 446-5602
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7706655Y0NH01
BHN
NH
05
—
99003227
—
NH
Enumeration date
11/30/2006
Last updated
05/11/2012
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