Isaac Alexander Bethea

Individual provider Active NPI Marriage & Family Therapist · Trenton, NJ

NPI 1386285385 · NPPES record last updated Oct 1, 2019

Key facts

NPI
1386285385
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
Practice address
117 Cadwalader Dr
Trenton, NJ 08618-3303
Phone
(609) 571-5576
NPI assigned
Oct 1, 2019
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
106H00000X Yes

Addresses

Primary practice location

117 Cadwalader Dr
Trenton, NJ 08618-3303

Mailing address

117 Cadwalader Dr
Trenton, NJ 08618-3303

Other providers in Trenton, NJ

All providers in Trenton, NJ · Marriage & Family Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.