Doctor Name: | MRS. BETTY JEAN RAULLI |
NPI Number: | 1548406903 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 5758333UPD |
Business Practice Address: | 6752 Serah Ln Jamesville, NY - 130789690 |
Business Phone Number: | 3154984498 |
Business Fax Number: | |
Mailing Address: | 6752 Serah Ln, JAMESVILLE |
State: | NY |
Postal Code: | 130789690 |
Phone Number: | 3154984498 |
Fax Number: | |
NPI Enumeration Date: | 01/06/2009 |
NPI Last Update Date: | 01/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 5758333UPD |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |