| Ross M And Frances E.becker A Professional Corporation | |
|
401 N Church St Visalia CA 93291-5006 | |
| (559) 636-1885 | |
| Not Available |
| Full Name | Ross M And Frances E.becker A Professional Corporation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 401 N Church St, Visalia, California |
| Authorized Official Name and Position | Ross M Becker (OWNER) |
| Authorized Official Contact | 5596361885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ross M And Frances E.becker A Professional Corporation Po Box 8078 Suite A Visalia CA 93290-8078 Ph: (559) 636-1885 | Ross M And Frances E.becker A Professional Corporation 401 N Church St Visalia CA 93291-5006 Ph: (559) 636-1885 |
| NPI Number | 1275779621 |
|---|---|
| Provider Enumeration Date | 01/06/2009 |
| Last Update Date | 10/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275779621 | NPI | - | NPPES |
| ZZZ55165Y | Other | CA | BLUE SHIELD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS3387 (California) | Primary |
| 1041C0700X | Social Worker - Clinical | LCS4068 (California) | Secondary |
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