Wynette C Betts, MS CCC/SLP
Individual provider Active NPI Speech-Language Pathologist · Atlanta, TX
NPI 1578041018 · NPPES record last updated Oct 10, 2022
Key facts
- NPI
- 1578041018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 101139 (TX)
- Practice address
- 505 Rabbit Blvd
Atlanta, TX 75551-2439 - Phone
- (903) 796-8115
- Fax
- (903) 799-1014
- NPI assigned
- Aug 6, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101139 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearson Pediatric OT Services | Speech-Language Pathologist | Current | Accepting new patients |
| Atlanta Isd | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 101139 | TX | Yes |
Addresses
Primary practice location
505 Rabbit Blvd
Atlanta, TX 75551-2439
Mailing address
106 W Main St
Atlanta, TX 75551-2519
Phone (903) 796-4194
Other practice location 1
9846 Hwy 31 E
Tyler, TX 75705-2329
Phone (903) 525-8001
Other providers in Atlanta, TX
- Chad Eugene Autrey
- Cheyanne Autry
- B D Pharmacy Inc
- Subramaniam Balachandran
- James P Bartlett Sr.
- Terry Dean Boatman
- Michael Cooper Cade
- Christus Health Ark-la-Tex
- Christus Health Ark-la-Tex
- Christus Health Ark-la-Tex
All providers in Atlanta, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.