| Doctor Name: | MRS. BETH ANNE FIFE |
| NPI Number: | 1629495213 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LSW |
| License Number: | SW129090 |
| Business Practice Address: | 283 South Butler Rd Mount Gretna, PA - 170640550 |
| Business Phone Number: | 7172738871 |
| Business Fax Number: | |
| Mailing Address: | 39 Dawkins Dr, EAST EARL |
| State: | PA |
| Postal Code: | 175199275 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/21/2014 |
| NPI Last Update Date: | 03/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | SW129090 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |