Provider Demographics
NPI:1306990650
Name:MBETTE, ANNE (M PSY, NCP, LPC)
Entity type:Individual
Prefix:MISS
First Name:ANNE
Middle Name:
Last Name:MBETTE
Suffix:
Gender:F
Credentials:M PSY, NCP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E LAUREL AVE
Mailing Address - Street 2:
Mailing Address - City:CHELTENHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19012-2125
Mailing Address - Country:US
Mailing Address - Phone:215-552-8900
Mailing Address - Fax:215-552-8997
Practice Address - Street 1:101 E LAUREL AVE
Practice Address - Street 2:
Practice Address - City:CHELTENHAM
Practice Address - State:PA
Practice Address - Zip Code:19012-2125
Practice Address - Country:US
Practice Address - Phone:215-552-8900
Practice Address - Fax:215-552-8997
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004425101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC004425OtherPROFESSIONAL COUNSELOR