Organization
VANCE B BECKER INC A PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIETTE BECKER PH.D. (CFO)
(949) 757-1113
Entity
Organization
Contact information
Practice address
1451 QUAIL ST, SUITE 102, NEWPORT BEACH, CA 92660-2742
(949) 757-1113
Mailing address
1451 QUAIL ST, SUITE 102, NEWPORT BEACH, CA 92660-2742
(949) 757-1113
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
001695
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013912443
NPI
CA
Enumeration date
12/02/2010
Last updated
07/22/2016
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