Doctor Name: | BETTY MECHLER |
NPI Number: | 1003282245 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 2121 7th St Parkersburg, WV - 261013803 |
Business Phone Number: | 3044851721 |
Business Fax Number: | 3044249424 |
Mailing Address: | 227 Clay Rd, SPENCER |
State: | WV |
Postal Code: | 252766906 |
Phone Number: | 3049275200 |
Fax Number: | 3049275201 |
NPI Enumeration Date: | 08/11/2015 |
NPI Last Update Date: | 08/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |