Provider Demographics
NPI:1952900110
Name:BETSY MENCHER, PH.D. PLLC
Entity Type:Organization
Organization Name:BETSY MENCHER, PH.D. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETSY
Authorized Official - Middle Name:
Authorized Official - Last Name:MENCHER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:202-969-2274
Mailing Address - Street 1:10005 STONEYBROOK DR
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-3152
Mailing Address - Country:US
Mailing Address - Phone:202-297-4939
Mailing Address - Fax:
Practice Address - Street 1:1350 CONNECTICUT AVE NW STE 500
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-1736
Practice Address - Country:US
Practice Address - Phone:202-969-2274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
EA27-0000OtherCAREFIRST BCBS