| Doctor Name: | MS. BETSY L HETRICK |
| NPI Number: | 1578963542 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PC |
| License Number: | PC007757 |
| Business Practice Address: | 334 North Main Street Knox, PA - 16232 |
| Business Phone Number: | 8147970291 |
| Business Fax Number: | 8147970281 |
| Mailing Address: | 365 Franklin Hill Road, KITTANNING |
| State: | PA |
| Postal Code: | 16201 |
| Phone Number: | 7245431888 |
| Fax Number: | 7245431898 |
| NPI Enumeration Date: | 08/27/2014 |
| NPI Last Update Date: | 08/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC007757 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |