Betancourt, Richard

Betancourt, Richard is an individual health care provider with primary practice located at 954 W Foothill Blvd Ste A , Upland CA 91786-3782. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Betancourt, Richard can be contacted via phone (909) 946-4222.

Contact Information

Primary practice address
954 W Foothill Blvd Ste A Upland CA 91786-3782
Phone: (909) 946-4222
Fax: (909) 946-8243
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X California

Profile Details

NPI number 1770702771
LBN Legal business name Betancourt, Richard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Dec 9th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770702771 NPPES
California MEDICAID 7006

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