Betty Rose Smith | Roxbury, MA • PECOS Search

Betty Rose Smith

Counselor

Behavioral Health & Social Service Providers

5 Codman Park, #3, Roxbury, MA 02119-1665

PECOS Enrollment

Based on the most recent information from CMS, provider Betty Rose Smith does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1922339084
Provider Type
Individual
Full Name
Smith, Betty Rose
Title
Ms.
Credential
MA.ED

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/28/2010
Last Updated
1/28/2010

Contact Information

Practice Location

5 Codman Park, #3, Roxbury, MA 02119-1665

Unlisted Fax

Mailing Location

5 Codman Park, #3, Roxbury, MA 02119-1665

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101Y00000X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer