Provider Demographics
NPI:1912110016
Name:BIERMA, BETSEY M (AUD)
Entity type:Individual
Prefix:DR
First Name:BETSEY
Middle Name:M
Last Name:BIERMA
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:BETSEY
Other - Middle Name:
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD
Mailing Address - Street 1:355 N 21ST ST STE 202
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-3707
Mailing Address - Country:US
Mailing Address - Phone:717-761-6777
Mailing Address - Fax:
Practice Address - Street 1:355 N 21ST ST STE 202
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-3707
Practice Address - Country:US
Practice Address - Phone:717-761-6777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT001010L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAAT001010LOtherPA LICENSE
PAAT001010LOtherPA LICENSE
PA102153674Medicaid