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NPI Code Detail

MEDICARE: ERNEST EDWARD BECKHAM PHD

MEDICARE: ERNEST EDWARD BECKHAM PHD
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
1103T00000XPsychologist317OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871561027
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERNEST EDWARD BECKHAM PHD
Provider Business Mailing Address
First Line : 4601 N CLASSEN BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73118-4815
Country : US
Telephone Number : 405-840-9999
Fax Number : 405-840-9998
Provider Business Practice Location Address
First Line : 4601 N CLASSEN BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73118-4815
Country : US
Telephone Number : 405-840-9999
Fax Number : 405-840-9998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 11/08/2013

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Directions to “ ERNEST EDWARD BECKHAM PHD” Practice Location

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