Provider Demographics
NPI:1043496698
Name:BEEMAN, KRISTYN D (MTBC)
Entity Type:Individual
Prefix:MRS
First Name:KRISTYN
Middle Name:D
Last Name:BEEMAN
Suffix:
Gender:F
Credentials:MTBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7728 GREEN HILL RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-9746
Mailing Address - Country:US
Mailing Address - Phone:717-514-8160
Mailing Address - Fax:717-737-7486
Practice Address - Street 1:7728 GREEN HILL RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-9746
Practice Address - Country:US
Practice Address - Phone:717-514-8160
Practice Address - Fax:717-737-7486
Is Sole Proprietor?:No
Enumeration Date:2008-01-14
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA07265225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist