Doctor Name: | EVELYN BECKER |
NPI Number: | 1609916774 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CSP |
License Number: | |
Business Practice Address: | 10385 E. Highway 92 Hereford, AZ - 85615 |
Business Phone Number: | 5203666204 |
Business Fax Number: | 5203660313 |
Mailing Address: | 580 S Shallow Brook Loop, SIERRA VISTA |
State: | AZ |
Postal Code: | 856358505 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 07/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |