Provider Demographics
NPI:1386851269
Name:BETCHEN, STEPHEN J
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:J
Last Name:BETCHEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1916 MARLTON PIKE E STE 2
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2139
Mailing Address - Country:US
Mailing Address - Phone:856-751-9787
Mailing Address - Fax:
Practice Address - Street 1:1916 MARLTON PIKE E STE 2
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2139
Practice Address - Country:US
Practice Address - Phone:856-751-9787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical