Doctor Name: | DR. BECKY NAGY |
NPI Number: | 1225391055 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | 20042382A |
Business Practice Address: | 30 N Main St Three Rivers, MI - 490931532 |
Business Phone Number: | 2192213862 |
Business Fax Number: | |
Mailing Address: | 10360 Key West, PORTAGE |
State: | MI |
Postal Code: | 49024 |
Phone Number: | 2192213862 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2012 |
NPI Last Update Date: | 02/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 20042382A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |