Doctor Name: | NICHOLAS SCOTT BECKER |
NPI Number: | 1205260825 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | TSLP8522 |
Business Practice Address: | 2040 S Alma School Rd Ste 1 Chandler, AZ - 852867076 |
Business Phone Number: | 6023238094 |
Business Fax Number: | 6024459337 |
Mailing Address: | 3187 N 142nd Dr, GOODYEAR |
State: | AZ |
Postal Code: | 853958349 |
Phone Number: | 6236875355 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2013 |
NPI Last Update Date: | 08/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | TSLP8522 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |