Provider Demographics
NPI:1821424359
Name:BEER, AMY
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:BEER
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 1:1564 LEMOINE AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-5635
Mailing Address - Country:US
Mailing Address - Phone:201-406-0003
Mailing Address - Fax:
Practice Address - Street 1:1564 LEMOINE AVE
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-5635
Practice Address - Country:US
Practice Address - Phone:201-406-0003
Practice Address - Fax:201-254-8095
Is Sole Proprietor?:No
Enumeration Date:2013-09-16
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
1-17-27280103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No171M00000XOther Service ProvidersCase Manager/Care Coordinator