Doctor Name: | MS. BETTE CROMER ALTHOF |
NPI Number: | 1013132133 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | C4110 |
Business Practice Address: | 1456 Jackson Pike Gallipolis, OH - 456312602 |
Business Phone Number: | 7404468289 |
Business Fax Number: | 7404462926 |
Mailing Address: | 1456 Jackson Pike, GALLIPOLIS |
State: | OH |
Postal Code: | 456312602 |
Phone Number: | 7404468289 |
Fax Number: | 7404462926 |
NPI Enumeration Date: | 04/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | C4110 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |