Beckwith, Bradley Robert

Beckwith, Bradley Robert is an sole proprietor health care provider with primary practice located at 726 Church St , Fogelsville PA 18051-1603. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Beckwith, Bradley Robert can be contacted via phone (610) 530-8392.

Contact Information

Primary practice address
726 Church St Fogelsville PA 18051-1603
Phone: (610) 530-8392
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC006651 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS018774 Pennsylvania

Profile Details

NPI number 1225375249
LBN Legal business name Beckwith, Bradley Robert
Credentials PSYD, L.P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2013
Last updated Dec 18th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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