| Doctor Name: | MS. MARY R BECK |
| NPI Number: | 1992869184 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA LLP LMSW |
| License Number: | 6301005077 |
| Business Practice Address: | 15450 East Jefferson Suite 120 Grosse Pointe Park, MI - 48230 |
| Business Phone Number: | 3138210171 |
| Business Fax Number: | 3138211957 |
| Mailing Address: | 23442 Wilson, DEARBORN |
| State: | MI |
| Postal Code: | 481281757 |
| Phone Number: | 3135612313 |
| Fax Number: | 3138211957 |
| NPI Enumeration Date: | 12/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 6301005077 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |