Provider Demographics
NPI:1871664516
Name:BUDESHEIM, BETH A (LPC)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:A
Last Name:BUDESHEIM
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 S MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-7358
Mailing Address - Country:US
Mailing Address - Phone:717-608-7623
Mailing Address - Fax:717-671-9524
Practice Address - Street 1:139 S MEADOW LN
Practice Address - Street 2:
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036-7358
Practice Address - Country:US
Practice Address - Phone:717-608-7623
Practice Address - Fax:717-671-9524
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001224101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional