Doctor Name: | HADLEY MATES BERTING |
NPI Number: | 1023416724 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | CG60524808 |
Business Practice Address: | 2535 Mitchell Rd Se Port Orchard, WA - 983664410 |
Business Phone Number: | 3603628387 |
Business Fax Number: | |
Mailing Address: | 2535 Mitchell Rd Se, PORT ORCHARD |
State: | WA |
Postal Code: | 983664410 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/11/2014 |
NPI Last Update Date: | 12/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | CG60524808 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |