Individual provider · Type 1 NPI

Blake Bettis, PSYD

Psychologist · Madison, WI

NPI number 1003650813 Active

Practice location

1750 Fordem Ave Apt 704
Madison, WI 53704-7135

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X5124-57 (WI)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1003650813

Blake Bettis, PSYD's National Provider Identifier is 1003650813, issued on Jun 25, 2024. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Madison, WI. The record was last updated on Jun 25, 2024.