Doctor Name: | MRS. CARLA LOUISE BETTROSS |
NPI Number: | 1043401755 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PCC-S, ATR-BC, PC |
License Number: | 05-144 |
Business Practice Address: | 11 Shenango Rd Ste 1 New Castle, PA - 161051177 |
Business Phone Number: | 7246571881 |
Business Fax Number: | 7246579178 |
Mailing Address: | 11 Shenango Rd Ste 1, NEW CASTLE |
State: | PA |
Postal Code: | 161051177 |
Phone Number: | 7246571881 |
Fax Number: | 7246579178 |
NPI Enumeration Date: | 08/07/2007 |
NPI Last Update Date: | 03/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 05-144 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |