MEDICARE: AMY R. BECK PH.D.

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
1	103TC0700X	Clinical Psychologist	2010030783	MO

General Provider Information

NPI Number	:	1992913008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY R. BECK PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 8472
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-0472
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	119 W GREGORY BLVD
Second Line	:	8472
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-0472
Country	:	US
Telephone Number	:	510-250-2805
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	01/03/2024

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