Baxter, Beth Aileen

Baxter, Beth Aileen is an sole proprietor health care provider with primary practice located at 2201 Ridgewood Rd Wyomissing, Wyomissing PA 19610-1189. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Baxter, Beth Aileen can be contacted via phone (610) 378-9601.

Contact Information

Primary practice address
2201 Ridgewood Rd Wyomissing Wyomissing PA 19610-1189
Fax: (610) 378-3610
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW015493 Pennsylvania
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X CW015493 Pennsylvania

Profile Details

NPI number 1023197639
LBN Legal business name Baxter, Beth Aileen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2006
Last updated Oct 30th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023197639 NPPES
Pennsylvania Other CS015493 CLNICAL SOCIAL WORKER

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