Provider Demographics
NPI:1003531393
Name:SEMENTILLI, BETTINA (LCAT, ATR-BC)
Entity type:Individual
Prefix:
First Name:BETTINA
Middle Name:
Last Name:SEMENTILLI
Suffix:
Gender:F
Credentials:LCAT, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 GROVE LN
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06831-5317
Mailing Address - Country:US
Mailing Address - Phone:914-282-6565
Mailing Address - Fax:
Practice Address - Street 1:21 GROVE LN
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06831-5317
Practice Address - Country:US
Practice Address - Phone:914-282-6565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002628221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist