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NPI Code Detail

MEDICARE: MRS. BETH CAMANN LICSW

MEDICARE: MRS. BETH CAMANN LICSW
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1790983310
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BETH CAMANN LICSW
Provider Business Mailing Address
First Line : 400 DOANSBURG RD
Second Line :
City : BREWSTER
State : NY
Zip : 10509-5902
Country : US
Telephone Number : 845-279-2995
Fax Number :
Provider Business Practice Location Address
First Line : 400 DOANSBURG RD
Second Line :
City : BREWSTER
State : NY
Zip : 10509-5902
Country : US
Telephone Number : 845-279-2995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2007
Last Update Date : 09/16/2014

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Directions to “ MRS. BETH CAMANN LICSW” Practice Location

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