Provider Demographics
NPI:1922386465
Name:BESS, BETSEY (MFA, MED)
Entity Type:Individual
Prefix:
First Name:BETSEY
Middle Name:
Last Name:BESS
Suffix:
Gender:F
Credentials:MFA, MED
Other - Prefix:
Other - First Name:SAVITRI
Other - Middle Name:
Other - Last Name:BESS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MFA, MED
Mailing Address - Street 1:214 MAIN ST APT 1
Mailing Address - Street 2:
Mailing Address - City:SOUTHWEST HARBOR
Mailing Address - State:ME
Mailing Address - Zip Code:04679-4252
Mailing Address - Country:US
Mailing Address - Phone:207-244-9598
Mailing Address - Fax:
Practice Address - Street 1:214 MAIN ST APT 1
Practice Address - Street 2:
Practice Address - City:SOUTHWEST HARBOR
Practice Address - State:ME
Practice Address - Zip Code:04679-4252
Practice Address - Country:US
Practice Address - Phone:207-244-9598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERC3201101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor