| Doctor Name: | BETHANY ANN CALDWELL |
| NPI Number: | 1467846626 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSCP, LPC, CBIS |
| License Number: | PC005326 |
| Business Practice Address: | 4431 William Penn Hwy Murrysville, PA - 156681946 |
| Business Phone Number: | 4128241616 |
| Business Fax Number: | |
| Mailing Address: | 4431 William Penn Hwy, MURRYSVILLE |
| State: | PA |
| Postal Code: | 156681946 |
| Phone Number: | 4128241616 |
| Fax Number: | |
| NPI Enumeration Date: | 03/26/2015 |
| NPI Last Update Date: | 03/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | PC005326 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |