| Gaye C. Beatty, Llc | |
|
501 N 17th St Suite 214 Allentown PA 18104-5044 | |
| (610) 434-0962 | |
| Not Available |
| Full Name | Gaye C. Beatty, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 501 N 17th St, Allentown, Pennsylvania |
| Authorized Official Name and Position | Gaye C. Beatty (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6104340962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaye C. Beatty, Llc 3612 Lenaire Rd Bethlehem PA 18020-1216 Ph: (610) 419-4190 | Gaye C. Beatty, Llc 501 N 17th St Suite 214 Allentown PA 18104-5044 Ph: (610) 434-0962 |
| NPI Number | 1538438643 |
|---|---|
| Provider Enumeration Date | 12/19/2011 |
| Last Update Date | 12/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538438643 | NPI | - | NPPES |
| 645751 | Other | PA | MEDICARE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CW001507-L (Pennsylvania) | Primary |
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