Individual provider · Type 1 NPI

Isabelle Beveridge, PhD, C.O.T.A.

Specialist · Livingston, NJ

NPI number 1992906036 Active

Practice location

600 S Livingston Ave, Suite 210
Livingston, NJ 07039-5419

Fax (973) 740-9007

Mailing address

475 Echo Lake Dr
Bangor, PA 18013-5342

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X46TA09024600 (NJ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1992906036

Isabelle Beveridge, PhD, C.O.T.A.'s National Provider Identifier is 1992906036, issued on May 29, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Livingston, NJ. The record was last updated on Jul 8, 2007.