Bettye Pate is a Clinical in Bloomington, Indiana. Bettye Pate practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bettye Pate is 1760454144. The last update date is 2015-01-23.
Bettye Pate's current location address is 645 S Rogers St, Bloomington, Indiana. You can contact this provider via phone number 8123391691 and fax number 8123372438. The mailing address for Bettye Pate is 645 S Rogers St, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bettye Pate |
|---|---|
| Address | 645 S Rogers St, Bloomington, Indiana |
| Phone Number | 8123391691 |
| Fax Number | 8123372438 |
| Sole Proprietor | N |
| Credentials | HSPP |
NPI Number Detail
| NPI Number | 1760454144 |
|---|---|
| Provider Enumeration Date | 2006-02-01 |
| Last Updated Date | 2015-01-23 |
Provider Mailing Address Detail
| Address | 645 S Rogers St |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474032353 |
| Phone Number | 8123391691 |
| Fax Number | 8123372438 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20040475A |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 209683 | IN | ANTHEM PIN | |
| 200003790A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Bettye Pate by the Centers for Medicare & Medicaid Services?
The Bettye Pate has been assigned the NPI (National Provider Identifier) 1760454144 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Bettye Pate?
The Bettye Pate is situated at 645 S Rogers St, in the city of Bloomington, state of IN, with the zip code 474032353.
What is Bettye Pate's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bettye Pate is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1760454144 to Bettye Pate?
The Centers for Medicare & Medicaid Services assigned the 1760454144 to Bettye Pate on 2006-02-01.
When was the Bettye Pate's information last updated?
The Bettye Pate's information was last updated on 2015-01-23.