Provider Demographics
NPI:1568260370
Name:BEAMAN, YURIKO (MS, LCGC)
Entity type:Individual
Prefix:
First Name:YURIKO
Middle Name:
Last Name:BEAMAN
Suffix:
Gender:
Credentials:MS, LCGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 AUTUMN RIVER RUN
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-4359
Mailing Address - Country:US
Mailing Address - Phone:301-613-8983
Mailing Address - Fax:
Practice Address - Street 1:ST. CHRISTOPHER'S PEDIATRIC ASSOCIATES
Practice Address - Street 2:160 EAST ERIE AVE
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134
Practice Address - Country:US
Practice Address - Phone:215-427-8496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAGC001044170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS