Healthcare Provider Details

I. General information

NPI: 1134217466
Provider Name (Legal Business Name): NATALIE BECKER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W 53RD ST 20D
NEW YORK NY
10019-5766
US

IV. Provider business mailing address

301 W 53RD ST 20D
NEW YORK NY
10019-5766
US

V. Phone/Fax

Practice location:
  • Phone: 212-246-4044
  • Fax: 212-246-4044
Mailing address:
  • Phone: 212-246-4044
  • Fax: 212-246-4044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number000194-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: