BETHANY DETWILER


Address: 264 E Broad St, Bethlehem, PA 18018-6278
Phone: 6108669311

BETHANY DETWILER (NPI# 1316491061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316491061
Entity Type Individual
Full Name BETHANY DETWILER
Credential PHD
Practice Address 264 E Broad St
Bethlehem
PA 18018-6278
Practice Telephone 6108669311
Practice Fax Number 6108822072
Mailing Telephone 6108669311
Mailing Fax Number 6108822072
Enumeration Date 2016-08-11
Last Update Date 2016-08-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
Behavioral Health & Social Service Providers

Office Location

Street Address 264 E BROAD ST
City BETHLEHEM
State PA
Zip Code 18018-6278

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518954742 Thomas D Sugalski Psychologist 264 E Broad St, Bethlehem, PA 18018-6224 2005-10-03
1336630201 Christine J Lynch Counselor 264 E Broad St, Bethlehem, PA 18018-6278 2018-05-25
1720516305 Jessica G Keroack Psychologist 264 E Broad St, Bethlehem, PA 18018-6278 2017-05-26
1528425097 Abby Sheneman Social Worker 264 E Broad St, Bethlehem, PA 18018-6278 2016-01-28
1982954723 Julie L Iwanicki Marriage & Family Therapist 264 E Broad St, Bethlehem, PA 18018-6278 2012-09-19
1548535057 Jennifer Lee Brisbane Psychologist 264 E Broad St, Bethlehem, PA 18018-6278 2012-03-16
1528358819 Jenna L Jebitsch Counselor 264 E Broad St, Bethlehem, PA 18018-6278 2011-04-08
1558689174 Marifel Estrada-currie Psychologist 264 E Broad St, Bethlehem, PA 18018-6278 2010-05-06
1114947975 Luba Rafalson Psychologist 264 E Broad St, Bethlehem, PA 18018-6224 2006-07-21
1346201266 Deborah Ferraro Social Worker 264 E Broad St, Bethlehem, PA 18018-6224 2006-03-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093373292 Jade Madison Hennessy Specialist/Technologist Moravian College, 1200 Main Street, Bethlehem, PA 18018 2019-06-03
1780106179 Courtney Jane Kruscavage Specialist/Technologist 641 Dellwood Street, Bethlehem, PA 18018 2017-07-07
1205357936 Balanced Body Therapeutic Massage, LLC Massage Therapist 227 W Broad St Ste 102, Bethlehem, PA 18018 2017-07-03
1033567599 Jessamine Martin Counselor 1 East Broad Street, Suite 510, Bethlehem, PA 18018 2016-05-25
1841650041 Akhi Saha Internal Medicine 325 W Broad St Fl 1, Bethlehem, PA 18018 2016-03-01
1063804193 Paul Minh Le Internal Medicine 800 Eaton Ave Ste B, Bethlehem, PA 18018 2015-02-26
1578962841 Elizabeth Veronica Weiss Iobst Counselor 1754 W. Broad St., Bethlehem, PA 18018 2014-08-22
1255771739 Inner Resources Counseling Inc Counselor 807 West Broad St, Bethlehem, PA 18018 2013-06-28
1437404878 St Luke Hospital General Acute Care Hospital 1956 C Allwood Dr., Bethlehem, PA 18018 2012-07-23
1275802944 St. Luke's Physician Group, Inc Ophthalmology 800 Eaton Avenue, Suite 101, Bethlehem, PA 18018 2011-12-23
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306226394 Maryann Sutton Psychologist 621 Pawnee St, Bethlehem, PA 18015-1429 2015-06-04
1558583278 Arnold R Spokane Psychologist 606 W Broad St, Bethlehem, PA 18018-5273 2007-05-03
1306910724 Maria Serrao Britt Psychologist 35 E Elizabeth Ave Ste 32, Bethlehem, PA 18018 2006-11-17
1306809280 Elizabeth Ann Roethke Psychologist 77 W Broad St, 12c, Bethlehem, PA 18018-5751 2006-04-10
1356302244 Patricia Jean Budd Psychologist 3005 Brodhead Rd, Suite 130, Bethlehem, PA 18020-9201 2006-03-30
1528219953 Jill Lauren Fuini Psychologist 54 S Commerce Way Ste 100, Bethlehem, PA 18017-8966 2008-10-03
1619132727 Timothy J Silvestri Psychologist 701 W Union Blvd, Suite 2, Bethlehem, PA 18018-3700 2008-07-29
1356475354 John Falbo Ph.d. Psychologist 545 Main St, Bethlehem, PA 18018-5810 2007-03-14
1437209699 Carolyn C. Madack Psychologist 2045 Westgate Dr, Ste. 300, Bethlehem, PA 18017-7480 2007-01-11
1699831701 John Falbo Psychologist 545 Main St, Bethlehem, PA 18018-5810 2007-01-01
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Competitor

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City BETHLEHEM
Zip Code 18018

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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