Provider Demographics
NPI:1093152977
Name:USHER, BETSY E (MA)
Entity Type:Individual
Prefix:MS
First Name:BETSY
Middle Name:E
Last Name:USHER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:637 N ROSEMARY LN
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-3258
Mailing Address - Country:US
Mailing Address - Phone:323-333-7560
Mailing Address - Fax:
Practice Address - Street 1:637 N ROSEMARY LN
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-3258
Practice Address - Country:US
Practice Address - Phone:323-333-7560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-31
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program