Provider Demographics
NPI:1316248768
Name:WALDEN, BETTY MCGEE (EDD)
Entity type:Individual
Prefix:DR
First Name:BETTY
Middle Name:MCGEE
Last Name:WALDEN
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2691 SANDLIN RD.SE
Mailing Address - Street 2:SUITE F
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601
Mailing Address - Country:US
Mailing Address - Phone:256-593-7876
Mailing Address - Fax:256-593-8118
Practice Address - Street 1:2691 SANDLIN RD SW
Practice Address - Street 2:SUITE F
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-7361
Practice Address - Country:US
Practice Address - Phone:256-593-7876
Practice Address - Fax:256-593-8118
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-16
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
AL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health