Provider Demographics
NPI:1568799872
Name:BEIDEL, KATHERINE JEAN
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:JEAN
Last Name:BEIDEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4887 TREHER ROAD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17222
Mailing Address - Country:US
Mailing Address - Phone:717-372-8367
Mailing Address - Fax:
Practice Address - Street 1:960 CENTURY DRIVE
Practice Address - Street 2:FLS CAPITAL
Practice Address - City:MECHANCSIBURG
Practice Address - State:PA
Practice Address - Zip Code:17055
Practice Address - Country:US
Practice Address - Phone:717-795-0330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor