Provider Demographics
NPI:1710539986
Name:UHRIG, BETHANY NECZYPOR (PHD)
Entity Type:Individual
Prefix:DR
First Name:BETHANY
Middle Name:NECZYPOR
Last Name:UHRIG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:BETHANY
Other - Middle Name:NICOLE
Other - Last Name:NECZYPOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2712 MERIDIAN DR APT 2
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5505
Mailing Address - Country:US
Mailing Address - Phone:440-665-5109
Mailing Address - Fax:
Practice Address - Street 1:1970 ROANOKE BLVD
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-6404
Practice Address - Country:US
Practice Address - Phone:540-982-2463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810006270103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical