| Doctor Name: | PROF. SECRETTE ANTOINETTE BERTOT |
| NPI Number: | 1013009935 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, NCC |
| License Number: | |
| Business Practice Address: | 25 Ikea Dr Westampton, NJ - 080605115 |
| Business Phone Number: | 6092679339 |
| Business Fax Number: | 6092676655 |
| Mailing Address: | 120 S Lincoln Ave, MOORESTOWN |
| State: | NJ |
| Postal Code: | 080571527 |
| Phone Number: | 8562341842 |
| Fax Number: | 8562318334 |
| NPI Enumeration Date: | 09/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| 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: | |