Individual
BECKIE M GRGICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, PSY
Contact information
Practice address
14960 WOODCARVER RD, COLORADO SPRINGS, CO 80921-2370
(193) 448-7797
(193) 139-2107
Mailing address
PO BOX 3392, MONUMENT, CO 80132-3392
(719) 344-8779
(719) 313-9210
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3041
CO
103T00000X
Psychologist
4845018-2501
UT
103T00000X
Psychologist
6176
FL
103T00000X
Psychologist
P40413
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502768
—
NV
Enumeration date
04/24/2006
Last updated
11/20/2018
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