Individual
DR. HENRY D. BECKWITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2807 NEUSE BLVD, STE 5, NEW BERN, NC 28562-2815
(252) 636-0112
(252) 634-9778
Mailing address
3304 TACK HOUSE RD, TRENT WOODS, NC 28562-6646
(980) 253-5323
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3444
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2821294
MEDICARE PTAN
NC
05
—
6001007
—
NC
Enumeration date
07/09/2006
Last updated
10/19/2010
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