Provider Demographics
NPI:1306522784
Name:BECK, KATHLEEN DOWNEY (MS, LPC)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:DOWNEY
Last Name:BECK
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 TANNER RD
Mailing Address - Street 2:
Mailing Address - City:HATBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19040-2342
Mailing Address - Country:US
Mailing Address - Phone:215-802-0597
Mailing Address - Fax:
Practice Address - Street 1:1200 OLD YORK RD STE 101
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-2034
Practice Address - Country:US
Practice Address - Phone:215-394-8625
Practice Address - Fax:215-933-6898
Is Sole Proprietor?:No
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012966101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional