Provider Demographics
NPI:1265869788
Name:BEEGLE, NICOLE DAWN (MS)
Entity type:Individual
Prefix:MISS
First Name:NICOLE
Middle Name:DAWN
Last Name:BEEGLE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 SUNRISE TER
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15522-6341
Mailing Address - Country:US
Mailing Address - Phone:814-623-5446
Mailing Address - Fax:
Practice Address - Street 1:10565 LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:PA
Practice Address - Zip Code:15537-7047
Practice Address - Country:US
Practice Address - Phone:814-623-2220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-29
Last Update Date:2013-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor