Provider Demographics
NPI:1689804098
Name:ABRAMS, BETH LYNNE (MS CCC SP/L)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:LYNNE
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:MS CCC SP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 DYLAN DRIVE
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104
Mailing Address - Country:US
Mailing Address - Phone:610-395-6658
Mailing Address - Fax:
Practice Address - Street 1:5 FORREST LAWN CT
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19606-3025
Practice Address - Country:US
Practice Address - Phone:610-395-6658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-20
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL007127235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist