Provider Demographics
NPI:1275788291
Name:SOUDERS, BETH (BS, MS, CGC)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:SOUDERS
Suffix:
Gender:F
Credentials:BS, MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 W WASHINGTON SQ
Mailing Address - Street 2:JOAN KARNELL CANCER CENTER AT PENNSYLVANIA HOSPITAL
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-3500
Mailing Address - Country:US
Mailing Address - Phone:215-829-6528
Mailing Address - Fax:215-829-3340
Practice Address - Street 1:230 W WASHINGTON SQ
Practice Address - Street 2:JOAN KARNELL CANCER CENTER AT PENNSYLVANIA HOSPITAL
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-3500
Practice Address - Country:US
Practice Address - Phone:215-829-6528
Practice Address - Fax:215-829-3340
Is Sole Proprietor?:No
Enumeration Date:2008-11-18
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS