Individual
BETH ANN ECKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 GOLFWOOD DR, HERMITAGE, PA 16148-3953
(724) 815-3479
Mailing address
5 GOLFWOOD DR, HERMITAGE, PA 16148-3953
(724) 815-3479
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2752
MS
101YM0800X
Mental Health Counselor
Primary
PC004620
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14280747
CAQH
—
Enumeration date
11/21/2007
Last updated
02/01/2022
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