| Doctor Name: | DR. DANIELLE BEAUMONT |
| NPI Number: | 1154602274 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | PS017056 |
| Business Practice Address: | 2300 Computer Ave Suite J-52 Willow Grove, PA - 190901752 |
| Business Phone Number: | 2156584553 |
| Business Fax Number: | 2156581602 |
| Mailing Address: | 2300 Computer Rd, Suite J-52 WILLOW GROVE |
| State: | PA |
| Postal Code: | 190901752 |
| Phone Number: | 2156584553 |
| Fax Number: | |
| NPI Enumeration Date: | 09/02/2011 |
| NPI Last Update Date: | 05/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS017056 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |