Provider Demographics
NPI:1619137361
Name:ACHESON, BETH HIAM (LIC AC)
Entity Type:Individual
Prefix:
First Name:BETH HIAM
Middle Name:
Last Name:ACHESON
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 WATER ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01267-2802
Mailing Address - Country:US
Mailing Address - Phone:413-458-0912
Mailing Address - Fax:
Practice Address - Street 1:210 WATER ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:MA
Practice Address - Zip Code:01267-2802
Practice Address - Country:US
Practice Address - Phone:413-458-0912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA216063171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist