Provider Information for 1568098390
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Dr. BETH PETERS Ed.D.
Sex: Female
NPI: 1568098390
Last Updated: 2020-03-12
Certification Date: 2020-03-12
Certification Date: 2020-03-12
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1568098390 | ||||||||
| Enumeration Date | 2020-03-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 30 CHARLES AVE NAZARETH, PA 18064-1701 United States Phone: 610-554-0433 | Fax: | ||||||||
| Primary Practice Address | 1101 NORTHAMPTON ST STE 201 EASTON, PA 18042-4152 United States Phone: 610-559-8151 | Fax: | ||||||||
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