Provider Demographics
NPI:1548347974
Name:BEYER PSYCHOLOGICAL ASSOCIATES, LLC
Entity type:Organization
Organization Name:BEYER PSYCHOLOGICAL ASSOCIATES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:PAULA
Authorized Official - Last Name:BEYER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, CAC-D
Authorized Official - Phone:610-478-7115
Mailing Address - Street 1:947 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-3018
Mailing Address - Country:US
Mailing Address - Phone:610-478-7115
Mailing Address - Fax:610-478-7118
Practice Address - Street 1:947 PENN AVE
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-3018
Practice Address - Country:US
Practice Address - Phone:610-478-7115
Practice Address - Fax:610-478-7118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015208103TA0400X, 103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50031702OtherCAPITAL BLUE CROSS
PA2106684000OtherINDEPENDENCE BLUE CROSS