Basic Information
| Provider Information | |||||||||
| NPI: | 1437567781 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OSHEL | ||||||||
| FirstName: | BETHANY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7824 JONESTOWN RD | ||||||||
| Address2: | |||||||||
| City: | HARRISBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 171129719 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7173640115 | ||||||||
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| Practice Location | |||||||||
| Address1: | 283 BUTLER RD | ||||||||
| Address2: | |||||||||
| City: | MOUNT GRETNA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170646085 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172738871 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/31/2014 | ||||||||
| LastUpdateDate: | 04/07/2017 | ||||||||
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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 | 103K00000X | BH000674 | PA | Y | Behavioral Health & Social Service Providers | Behavioral Analyst | 101YP2500X | PC008960 | PA | N | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.