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Individual
MARK RONALD BECKER
Active
Individual
MARK RONALD BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY11090
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY11090
CA
103TC0700X
Clinical Psychologist
PSY11090
CA
103TF0200X
Forensic Psychologist
PSY11090
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PSY11090
CA
103TP2701X
Group Psychotherapy Psychologist
PSY11090
CA
103TR0400X
Rehabilitation Psychologist
PSY11090
CA
Other
Enumeration date
07/05/2006
Last updated
07/22/2015
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