| Denise M Beckett Phd Pa | |
|
3655a Old Court Rd Suite #12 Baltimore MD 21208-3959 | |
| (410) 484-3304 | |
| (410) 484-5788 |
| Full Name | Denise M Beckett Phd Pa |
|---|---|
| Speciality | Psychologist |
| Location | 3655a Old Court Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Denise Michelle Beckett (PSYCHOLOGIST) |
| Authorized Official Contact | 4104843304 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Denise M Beckett Phd Pa 3655a Old Court Rd Suite #12 Baltimore MD 21208-3959 Ph: (410) 484-3304 | Denise M Beckett Phd Pa 3655a Old Court Rd Suite #12 Baltimore MD 21208-3959 Ph: (410) 484-3304 |
| NPI Number | 1902822406 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 06/11/2008 |
| Medicare PECOS PAC ID | 4587669213 |
|---|---|
| Medicare Enrollment ID | O20061002000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902822406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2312 (Maryland) | Primary |
| Provider Name | Denise M Beckett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104873512 PECOS PAC ID: 4486659117 Enrollment ID: I20061002000169 |
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