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NPI Code Detail

MEDICARE: AARON R BECKER PSYD

MEDICARE: AARON R BECKER PSYD
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
1103TC0700XClinical Psychologist5817OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13554-01OTHEROHMT CARMEL BEHAV HEALTH
2288580OTHEROHMANAGED HEALTH NETWORK
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598753071
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON R BECKER PSYD
Provider Business Mailing Address
First Line : 700 N COLUMBUS ST
Second Line :
City : CRESTLINE
State : OH
Zip : 44827-1455
Country : US
Telephone Number : 419-468-0522
Fax Number :
Provider Business Practice Location Address
First Line : 715 RICHLAND MALL
Second Line :
City : ONTARIO
State : OH
Zip : 44906-3802
Country : US
Telephone Number : 419-462-4588
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2005
Last Update Date : 12/28/2020

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