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General NPI Number Information
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NPI Number | 1720477185
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Entity Type | Individual
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Provider Name | BECCA GREUB PH.D
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Gender | Female
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Dates
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Enumeration Date | 01/22/2015
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Last Update Date | 07/20/2025
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Provider Practice Location Address
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Address Line | PO BOX 65
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City | OWEN
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State | WI
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Zip | 54460-0065
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Country | US
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Telephone | 715-229-0330
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Fax | 715-229-0331
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Provider Business Mailing Address
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Address Line | 216 W. HILLSIDE DRIVE
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City | CADOTT
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State | WI
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Zip | 54727
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Country | US
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Telephone | 715-978-0041
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2845-57
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License Number State | WI
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