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NPI Code Detail

MEDICARE: BRYAN D BECK M.S., L.P.C.C.

MEDICARE: BRYAN D BECK M.S., L.P.C.C.
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
1101YP2500XProfessional CounselorKY-0966KY

General Provider Information

NPI Number : 1851424204
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYAN D BECK M.S., L.P.C.C.
Provider Business Mailing Address
First Line : 4473 ALIGAN WAY
Second Line :
City : LEXINGTON
State : KY
Zip : 40515-4784
Country : US
Telephone Number : 859-825-8168
Fax Number :
Provider Business Practice Location Address
First Line : 68 SUMMERTREE DR
Second Line :
City : NICHOLASVILLE
State : KY
Zip : 40356-9714
Country : US
Telephone Number : 859-825-8168
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 04/10/2009

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