1346309283 NPI number — JUSTIN CHRISTOPHER BECK LCSW

Table of content: JUSTIN CHRISTOPHER BECK LCSW (NPI 1346309283)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346309283 NPI number — JUSTIN CHRISTOPHER BECK LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BECK
Provider First Name:
JUSTIN
Provider Middle Name:
CHRISTOPHER
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346309283
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/09/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4 POCONO RD
Provider Second Line Business Mailing Address:
C O SAINT CLARE'S HOSPITAL
Provider Business Mailing Address City Name:
DENVILLE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07834-2956
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-299-5474
Provider Business Mailing Address Fax Number:
973-316-1839

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4 POCONO RD
Provider Second Line Business Practice Location Address:
C O SAINT CLARE'S HOSPITAL
Provider Business Practice Location Address City Name:
DENVILLE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07834-2956
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-299-5474
Provider Business Practice Location Address Fax Number:
973-316-1839
Provider Enumeration Date:
12/06/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  44SC04658700 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)