Provider Demographics
NPI:1518914332
Name:MORWOOD, BETTY JO (MD)
Entity Type:Individual
Prefix:DR
First Name:BETTY
Middle Name:JO
Last Name:MORWOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:35 TIMBER LN
Mailing Address - Street 2:TIMBERLANE MEDICAL CENTER
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-5201
Mailing Address - Country:US
Mailing Address - Phone:802-651-7561
Mailing Address - Fax:802-860-3613
Practice Address - Street 1:35 TIMBER LN
Practice Address - Street 2:TIMBERLANE MEDICAL CENTER
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-5201
Practice Address - Country:US
Practice Address - Phone:802-651-7561
Practice Address - Fax:802-860-3613
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-27
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042-00056512084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0005057Medicaid
VT0005057Medicaid