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NPI Code Detail

MEDICARE: DR. SCOTT HARRISON BECKER PH.D.

MEDICARE:  DR. SCOTT HARRISON BECKER  PH.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
1103TC0700XClinical Psychologist017100NY
2103TC0700XClinical Psychologist6301014519MI

General Provider Information

NPI Number : 1942418967
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT HARRISON BECKER PH.D.
Provider Business Mailing Address
First Line : 4142 LEEWARD DR
Second Line :
City : OKEMOS
State : MI
Zip : 48864-4400
Country : US
Telephone Number : 585-350-9655
Fax Number :
Provider Business Practice Location Address
First Line : 2127 UNIVERSITY PARK DR
Second Line :
City : OKEMOS
State : MI
Zip : 48864-5928
Country : US
Telephone Number : 800-693-1916
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2007
Last Update Date : 08/05/2022

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Directions to “ DR. SCOTT HARRISON BECKER PH.D.” Practice Location

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