Provider Demographics
NPI:1851478291
Name:HALSEY, BETSY L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BETSY
Middle Name:L
Last Name:HALSEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15509 INDIANOLA DR
Mailing Address - Street 2:
Mailing Address - City:DERWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:20855-2706
Mailing Address - Country:US
Mailing Address - Phone:240-462-7562
Mailing Address - Fax:
Practice Address - Street 1:15509 INDIANOLA DR
Practice Address - Street 2:
Practice Address - City:DERWOOD
Practice Address - State:MD
Practice Address - Zip Code:20855-2706
Practice Address - Country:US
Practice Address - Phone:240-462-7562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04009103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical