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Individual

DR. HENRY D. BECKWITH

Active
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Individual

DR. HENRY D. BECKWITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

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
Update your record

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