Healthcare Provider Details

I. General information

NPI: 1578663076
Provider Name (Legal Business Name): BEVERLY ATWOOD BECK M.ED, CCC-SLP, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3311 BURNT MILL DR
WILMINGTON NC
28403-2654
US

IV. Provider business mailing address

626 WEDGEWOOD RD
WHITEVILLE NC
28472-2931
US

V. Phone/Fax

Practice location:
  • Phone: 910-251-5817
  • Fax:
Mailing address:
  • Phone: 910-641-0917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number115732
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1351
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: