Individual
DR. BETTINA HODEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
125 SERRANO HEIGHTS DR, SAN LUIS OBISPO, CA 93405-1748
(805) 286-1802
Mailing address
1446 OSPREY CT, TEMPLETON, CA 93465-9813
(805) 434-9220
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 17406
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00201584
RAILROAD MEDICARE
CA
Enumeration date
12/19/2006
Last updated
09/05/2012
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