Doctor Name: | MS. MARCIA A BECKER |
NPI Number: | 1013050236 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D |
License Number: | 0717000522 |
Business Practice Address: | 800 Preston Ave Charlottesville, VA - 229034420 |
Business Phone Number: | 4349721830 |
Business Fax Number: | 4349701375 |
Mailing Address: | 800 Preston Ave, CHARLOTTESVILLE |
State: | VA |
Postal Code: | 229034420 |
Phone Number: | 4349721830 |
Fax Number: | 4349701375 |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0717000522 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |