=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821948746
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CLARISSA BECK
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/30/2026
-----------------------------------------------------
Last Update Date | 01/30/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 555 BUSINESS CENTER DR
-----------------------------------------------------
City | HORSHAM
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19044-3416
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-293-8882
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 366 E ARMSTRONG DR
-----------------------------------------------------
City | FOUNTAINVILLE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18923-9519
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-604-3326
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | PSL002934
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------