Provider Demographics
NPI:1316726896
Name:MYERS, BETSY ROGAN (LCPC)
Entity type:Individual
Prefix:
First Name:BETSY
Middle Name:ROGAN
Last Name:MYERS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11718 TURVILLE LN
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-1421
Mailing Address - Country:US
Mailing Address - Phone:410-726-3937
Mailing Address - Fax:
Practice Address - Street 1:11718 TURVILLE LN
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-1421
Practice Address - Country:US
Practice Address - Phone:410-726-3937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1451101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional