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NPI Code Detail

MEDICARE: BECKLIN E MBAH

MEDICARE:   BECKLIN E MBAH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TA0400XAddiction (Substance Use Disorder) PsychologistDC

General Provider Information

NPI Number : 1275482002
Entity Type Code : Individual
Provider Name (Legal Business Name) : BECKLIN E MBAH
Provider Business Mailing Address
First Line : 2420 NICOL CIR
Second Line :
City : BOWIE
State : MD
Zip : 20721-2899
Country : US
Telephone Number : 301-728-4356
Fax Number :
Provider Business Practice Location Address
First Line : 6323 GEORGIA AVE NW STE 350
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-1151
Country : US
Telephone Number : 202-704-3425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

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Directions to “ BECKLIN E MBAH ” Practice Location

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