| Doctor Name: | BEATRIX M VON WATZDORF |
| NPI Number: | 1598779480 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., M.A., LPC, NCC |
| License Number: | PRC13894 |
| Business Practice Address: | 3201 Route 212 Springtown, PA - 18081 |
| Business Phone Number: | 2023098929 |
| Business Fax Number: | |
| Mailing Address: | 2884 Gallows Hill Rd, RIEGELSVILLE |
| State: | PA |
| Postal Code: | 180779737 |
| Phone Number: | 4848171220 |
| Fax Number: | |
| NPI Enumeration Date: | 07/28/2006 |
| NPI Last Update Date: | 05/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PRC13894 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |