Provider Demographics
NPI:1952486599
Name:JOSELOW, BETH B (LPCMH, NCC)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:B
Last Name:JOSELOW
Suffix:
Gender:F
Credentials:LPCMH, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16129 GILLS NECK RD
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-5032
Mailing Address - Country:US
Mailing Address - Phone:302-258-7848
Mailing Address - Fax:
Practice Address - Street 1:1307 SAVANNAH RD
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1514
Practice Address - Country:US
Practice Address - Phone:302-258-7848
Practice Address - Fax:302-644-1507
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2008-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000360101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health