Organization Name: | SUSAN L. BEEBE, PH.D. |
NPI Number: | 1104921006 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERESA JOHNSON (OFFICE MANAGER) |
Mailing Address: | 93 Old York Rd Suite 217 Jenkintown |
State: | PA US |
Postal Code: | 190463925 |
Phone Number: | 2158858774 |
Fax Number: | 2153226067 |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS003992L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |