Individual
DR. BETHANN SHOUDT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4730A PERKIOMEN AVE, READING, PA 19606-9521
(610) 898-1370
Mailing address
67 LONG MEADOW RD, ROYERSFORD, PA 19468-1853
(610) 898-1370
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
07/08/2007
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