Basic Information
| Provider Information | |||||||||
| NPI: | 1912110016 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BELL | ||||||||
| FirstName: | BETSEY | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | AUD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2025 TECHNOLOGY PKWY | ||||||||
| Address2: | SUITE G-03 | ||||||||
| City: | MECHANICSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170509400 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177289700 | ||||||||
| FaxNumber: | 7177289800 | ||||||||
| Practice Location | |||||||||
| Address1: | 2025 TECHNOLOGY PKWY | ||||||||
| Address2: | SUITE G-03 | ||||||||
| City: | MECHANICSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170509400 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177289700 | ||||||||
| FaxNumber: | 7177289800 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/07/2007 | ||||||||
| LastUpdateDate: | 02/28/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | AT001010L | PA | Y | Speech, Language and Hearing Service Providers | Audiologist |
ID Information
| ID | Type | State | Issuer | Description | 102153674 | 05 | PA | MEDICAID | AT001010L | 01 | PA | PA LICENSE | OTHER |