Individual
DR. ISABELLE BEVERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., C.O.T.A.
Contact information
Practice address
600 S LIVINGSTON AVE, SUITE 210, LIVINGSTON, NJ 07039-5419
(800) 278-0332
(973) 740-9007
Mailing address
475 ECHO LAKE DR, BANGOR, PA 18013-5342
(610) 599-5054
(610) 599-8805
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46TA09024600
NJ
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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