Provider Demographics
NPI:1285804583
Name:KYPER, BETHANY LAURA (MSW, LSW)
Entity type:Individual
Prefix:MRS
First Name:BETHANY
Middle Name:LAURA
Last Name:KYPER
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:16652-1826
Mailing Address - Country:US
Mailing Address - Phone:814-643-1114
Mailing Address - Fax:814-643-5344
Practice Address - Street 1:900 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:16652-1826
Practice Address - Country:US
Practice Address - Phone:814-643-1114
Practice Address - Fax:814-643-5344
Is Sole Proprietor?:No
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW125172104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker