National Provider Identifier
Beth A Canouse-Midura, LCSW
Beth A Canouse-Midura, LCSW is listed in the NPPES registry with a primary specialty of Social Worker in Ithaca, NY and a listed phone number of (607) 274-6200.
Source: public NPPES record, last updated July 08, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1265462998
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- July 05, 2006
- Last Updated
- July 08, 2007
Practice Location
- 201 East Green St
- Ithaca, NY 14850
Phone: (607) 274-6200
Specialties
- Social Worker (104100000X)
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Full Record
- NPI
- 1265462998
- Entity Type
- Individual
- Last Name
- Canouse-Midura
- First Name
- Beth
- Middle Name
- A
- Name Prefix
- MS.
- Credential
- LCSW
- Mailing Street Address
- 201 East Green St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850
- Mailing Country
- US
- Mailing Phone
- (607) 274-6200
- Mailing Fax
- (607) 274-6316
- Practice Street Address
- 201 East Green St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 274-6200
- Practice Fax
- (607) 274-6316
- Enumeration Date
- July 05, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Social Worker (104100000X)