Provider Demographics
NPI:1902853906
Name:MUNSING, BEVERLY WHITE
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:WHITE
Last Name:MUNSING
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 1:806 CARMAN DR
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1514
Mailing Address - Country:US
Mailing Address - Phone:610-376-0901
Mailing Address - Fax:
Practice Address - Street 1:806 CARMAN DR
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1514
Practice Address - Country:US
Practice Address - Phone:610-376-0901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW136701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0199228000OtherAMERIHEALTH
PA03096300OtherCAPITAL BLUE CROSS
PA180910000OtherMAGELLAN
PA180910000OtherMAGELLAN