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NPI Code Detail

MEDICARE: MATTHEW BEEHNER

MEDICARE: MATTHEW BEEHNER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1932744687
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW BEEHNER
Provider Business Mailing Address
First Line : 4020 LAKE WORTH RD
Second Line :
City : PALM SPRINGS
State : FL
Zip : 33461-3918
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4020 LAKE WORTH RD
Second Line :
City : PALM SPRINGS
State : FL
Zip : 33461-3918
Country : US
Telephone Number : 561-444-3512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2019
Last Update Date : 11/15/2019

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