Provider Demographics
NPI:1174117410
Name:BECKWITH, CRYSTAL (LPC (NJ), LPC (PA)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:
Last Name:BECKWITH
Suffix:
Gender:F
Credentials:LPC (NJ), LPC (PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6542A LOWER YORK RD # 182
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938-1810
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 W STATE ST STE 103
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-5841
Practice Address - Country:US
Practice Address - Phone:732-204-8195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-26
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00555600101YP2500X
PAPC015567101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional