Provider Demographics
NPI:1689767964
Name:RICH, BETTY E (PHD)
Entity Type:Individual
Prefix:DR
First Name:BETTY
Middle Name:E
Last Name:RICH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 3RD AVENUE N
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-2539
Mailing Address - Country:US
Mailing Address - Phone:203-984-2405
Mailing Address - Fax:615-905-9151
Practice Address - Street 1:236 3RD AVENUE N
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-2539
Practice Address - Country:US
Practice Address - Phone:203-984-2405
Practice Address - Fax:615-905-9151
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-01
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001480103TC0700X
TN3288103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical