Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | 37PC00152900 | NJ |
N | 101YP2500X | Professional Counselor | PC001745 | PA |
Y | 103G00000X | Clinical Psychologist | B1-0001000 | DE |
Y | 103TC0700X | Clinical Psychologist | B1-0001000 | DE |
NPI | 1003918814 |
---|---|
Provider Name | Dr. Beth A. Rhoads |
First Address | Wyncote, PA 19095-1210 |
Second Address | Wyncote, PA 19095-1210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2006 |
Last Update Date | 01/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2321371000 | IBC (01) | PA |
280626000 | KEYSTONE (01) | PA |
7832313 | AETNA (01) | PA |