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NPI Code Detail

MEDICARE: MR. EDWARD BECK JR. LAC

MEDICARE: MR. EDWARD BECK JR. LAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor37AC00819300NJ

General Provider Information

NPI Number : 1124864301
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EDWARD BECK JR. LAC
Provider Business Mailing Address
First Line : 770 WOODLANE RD
Second Line :
City : WESTAMPTON
State : NJ
Zip : 08060-3804
Country : US
Telephone Number : 609-267-5928
Fax Number : 866-362-4769
Provider Business Practice Location Address
First Line : 770 WOODLANE RD
Second Line :
City : WESTAMPTON
State : NJ
Zip : 08060-3804
Country : US
Telephone Number : 609-267-5928
Fax Number : 866-362-4769
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2024
Last Update Date : 01/21/2026

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