Provider Demographics
NPI:1427251313
Name:SALTZMAN-BETTERSWORTH, JENNIFER (LMFT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:SALTZMAN-BETTERSWORTH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:JENNY
Other - Middle Name:
Other - Last Name:SALTZMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:1215 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-2541
Mailing Address - Country:US
Mailing Address - Phone:270-782-1116
Mailing Address - Fax:270-782-9108
Practice Address - Street 1:1215 HIGH ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-2541
Practice Address - Country:US
Practice Address - Phone:270-782-1116
Practice Address - Fax:270-782-9108
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0659106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY30604011Medicaid