Provider Demographics
NPI:1023750346
Name:BEAM, MERIDITH-ANN EMILY
Entity type:Individual
Prefix:
First Name:MERIDITH-ANN
Middle Name:EMILY
Last Name:BEAM
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 1:2135 W WALNUT ST APT 1D
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-6452
Mailing Address - Country:US
Mailing Address - Phone:484-225-2644
Mailing Address - Fax:
Practice Address - Street 1:2135 W WALNUT ST APT 1D
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-6452
Practice Address - Country:US
Practice Address - Phone:484-714-9992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor