Healthcare Provider Details

I. General information

NPI: 1689667362
Provider Name (Legal Business Name): BECKER-WEIDMAN, CSW, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5820 MAIN ST SUITE 406
WILLIAMSVILLE NY
14221-5776
US

IV. Provider business mailing address

5820 MAIN ST SUITE 406
WILLIAMSVILLE NY
14221-5776
US

V. Phone/Fax

Practice location:
  • Phone: 716-810-0790
  • Fax: 716-636-6243
Mailing address:
  • Phone: 716-810-0790
  • Fax: 716-636-6243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. ARTHUR BECKER-WEIDMAN
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 716-810-0790