Individual
DR. BETHANN SHOUDT
Active
Individual
DR. BETHANN SHOUDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS008614L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1695774
INDEPENDENCE BC PERSONAL
PA
01
—
355580
HIGHMARK BLUE SHIELD
PA
01
—
50005216
CAPITAL BLUE CROSS
PA
01
—
718545
AETNA
PA
Enumeration date
10/30/2005
Last updated
07/13/2026
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