Organization
GAYE C. BEATTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYE C. BEATTY LCSW, BCD (CLINICAL SOCIAL WORKER)
(610) 434-0962
Entity
Organization
Contact information
Practice address
501 N 17TH ST, SUITE 214, ALLENTOWN, PA 18104-5044
(610) 434-0962
Mailing address
3612 LENAIRE RD, BETHLEHEM, PA 18020-1216
(610) 419-4190
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CW001507-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
645751
MEDICARE PROVIDER NUMBER
PA
Enumeration date
12/19/2011
Last updated
12/19/2011
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