Provider Demographics
NPI:1376814236
Name:BEYER, JEFFREY D (PHD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:D
Last Name:BEYER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2008 MURRAY AVE
Mailing Address - Street 2:SUITE A2
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2169
Mailing Address - Country:US
Mailing Address - Phone:412-268-8072
Mailing Address - Fax:
Practice Address - Street 1:2008 MURRAY AVE
Practice Address - Street 2:SUITE A2
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-2169
Practice Address - Country:US
Practice Address - Phone:412-268-8072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist