Provider Demographics
NPI:1578174611
Name:BECKWITH, PAIGE MCMASTER (MA, ATR)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:MCMASTER
Last Name:BECKWITH
Suffix:
Gender:F
Credentials:MA, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7101 CLUB HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:PRESTO
Mailing Address - State:PA
Mailing Address - Zip Code:15142-1556
Mailing Address - Country:US
Mailing Address - Phone:260-558-9897
Mailing Address - Fax:
Practice Address - Street 1:11279 PERRY HWY STE 400
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9386
Practice Address - Country:US
Practice Address - Phone:724-934-4130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health