Provider Demographics
NPI:1174862114
Name:BEECHER, JOELLE LYNN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOELLE
Middle Name:LYNN
Last Name:BEECHER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 CREST RD
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-4027
Mailing Address - Country:US
Mailing Address - Phone:610-247-5768
Mailing Address - Fax:
Practice Address - Street 1:1009 CREST RD
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-4027
Practice Address - Country:US
Practice Address - Phone:610-247-5768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-12
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS018249103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical