Provider Demographics
NPI:1164726147
Name:BESCHEN, GLENDA LYNN (LPC)
Entity Type:Individual
Prefix:
First Name:GLENDA
Middle Name:LYNN
Last Name:BESCHEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 FRIES MILL RD
Mailing Address - Street 2:STE. 201
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012
Mailing Address - Country:US
Mailing Address - Phone:856-745-8847
Mailing Address - Fax:856-270-2403
Practice Address - Street 1:151 FRIES MILL RD.
Practice Address - Street 2:STE 201
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012
Practice Address - Country:US
Practice Address - Phone:856-745-8847
Practice Address - Fax:856-270-2403
Is Sole Proprietor?:No
Enumeration Date:2011-01-05
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00418800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional