Organization Name: | BETH BUDESHEIM, LLC |
NPI Number: | 1255646014 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETH A BUDESHEIM (OWNER) |
Mailing Address: | 139 S Meadow Ln Hummelstown |
State: | PA US |
Postal Code: | 170367358 |
Phone Number: | 7176087623 |
Fax Number: | |
NPI Enumeration Date: | 08/17/2010 |
NPI Last Update Date: | 08/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC001224 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |