Individual
DR. BRADLEY ROBERT BECKWITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, L.P.C.
Contact information
Practice address
726 CHURCH ST, FOGELSVILLE, PA 18051-1603
(610) 530-8392
Mailing address
726 CHURCH ST, FOGELSVILLE, PA 18051-1603
(610) 530-8392
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC006651
PA
103TC0700X
Clinical Psychologist
Primary
PS018774
PA
Other
Enumeration date
01/10/2013
Last updated
12/18/2020
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