MEDICARE: MELANIE LYNNE BEUTH MA, ATR-BC, LPC

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
1	101Y00000X	Counselor	PC005401	PA

General Provider Information

NPI Number	:	1063734093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE LYNNE BEUTH MA, ATR-BC, LPC

Provider Business Mailing Address
First Line	:	106 RIVERSIDE DR.
Second Line	:	BOX 233
City	:	MCGRANN
State	:	PA
Zip	:	16236
Country	:	US
Telephone Number	:	724-840-6023
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 RIVERSIDE DR.
Second Line	:
City	:	MCGRANN
State	:	PA
Zip	:	16236
Country	:	US
Telephone Number	:	724-840-6023
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2010
Last Update Date	:	02/18/2010

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