Doctor Name: | JULIE LYNN BECKERMAN |
NPI Number: | 1134411358 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PCC-S |
License Number: | 0003050 |
Business Practice Address: | 22001 Fairmount Blvd Shaker Heights, OH - 44118 |
Business Phone Number: | 2169322800 |
Business Fax Number: | 2163205759 |
Mailing Address: | 22001 Fairmount Blvd, SHAKER HEIGHTS |
State: | OH |
Postal Code: | 441184819 |
Phone Number: | 2169322800 |
Fax Number: | 2163208759 |
NPI Enumeration Date: | 05/05/2011 |
NPI Last Update Date: | 05/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0003050 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |