MEDICARE: DR. STEPHEN CRAIG BECK M.D.

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
1	2084P0804X	Child & Adolescent Psychiatry Physician	35.039565	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568420503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN CRAIG BECK M.D.

Provider Business Mailing Address
First Line	:	1410 SPRINGFIELD PIKE
Second Line	:	APT 62D
City	:	CINCINNATI
State	:	OH
Zip	:	45215-2156
Country	:	US
Telephone Number	:	513-522-0800
Fax Number	:	513-522-0806

Provider Business Practice Location Address
First Line	:	1410 SPRINGFIELD PIKE
Second Line	:	APT 62D
City	:	CINCINNATI
State	:	OH
Zip	:	45215-2156
Country	:	US
Telephone Number	:	513-522-0800
Fax Number	:	513-522-0806

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	04/17/2017

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