Individual
SUSAN LYNN BEEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
93 OLD YORK RD, SUITE 217, JENKINTOWN, PA 19046-3925
(215) 885-8774
(215) 322-6067
Mailing address
93 OLD YORK RD, SUITE 217, JENKINTOWN, PA 19046-3925
(215) 885-8774
(215) 322-6067
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS003992L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068875
PA BLUE SHIELD
PA
Enumeration date
09/14/2006
Last updated
07/08/2007
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