Individual
DR. CRYSTAL M BECKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
1350 E BRADFORD PKWY BLDG C, SPRINGFIELD, MO 65804-4376
(417) 761-5000
(417) 761-5065
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2006033334
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14148858
CAQH
—
Enumeration date
10/17/2007
Last updated
05/30/2025
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