Individual provider Active NPI

Bette Fletcher, PH,D

  • Psychologist
  • Columbia, MO
National Provider Identifier
1730169749
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
01168 Issued in MO
Practice address
2716 Forum Blvd
Suite 2B
Columbia, MO 65203-5450
Phone
(573) 446-4039
Fax
(573) 446-4123
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 01168 MO Primary

Addresses

Primary practice location

2716 Forum Blvd
Suite 2B
Columbia, MO 65203-5450

Mailing address

2716 Forum Blvd
Suite 2B
Columbia, MO 65203-5450
Phone (573) 446-4039

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
01168MOMDAudiologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730169749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 FORUM BLVD",
            "address_2": "SUITE 2B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035450",
            "telephone_number": "573-446-4039",
            "fax_number": "573-446-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 FORUM BLVD",
            "address_2": "SUITE 2B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035450",
            "telephone_number": "573-446-4039",
            "fax_number": "573-446-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "BETTE",
        "name_prefix": "Mrs.",
        "credential": "PH,D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "01168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.