Provider Demographics
NPI:1184049348
Name:BEIM, JENNA (MS CFY-SLP)
Entity type:Individual
Prefix:MISS
First Name:JENNA
Middle Name:
Last Name:BEIM
Suffix:
Gender:F
Credentials:MS CFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 GOLDEN RD
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-3219
Mailing Address - Country:US
Mailing Address - Phone:845-300-0302
Mailing Address - Fax:
Practice Address - Street 1:254 S MAIN ST STE 400
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-3363
Practice Address - Country:US
Practice Address - Phone:845-638-1592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-25
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program