Basic Information
| Provider Information | |||||||||
| NPI: | 1225574486 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BEERGER | ||||||||
| FirstName: | EMILY | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 E PENN SQ | ||||||||
| Address2: | 6TH FLOOR WANAMAKER BUILDING | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191073323 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2155906267 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1700 HORIZON DR | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | CHALFONT | ||||||||
| State: | PA | ||||||||
| PostalCode: | 189143950 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2155906267 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/12/2017 | ||||||||
| LastUpdateDate: | 01/12/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | CW018778 | PA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.