Individual
DR. DONALD EMORY BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
44 MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 584-8246
(801) 584-8242
Mailing address
4238 VALLEY VISTA DR, SALT LAKE CITY, UT 84124-2754
(801) 272-6525
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
116907-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
999000021002
—
UT
Enumeration date
09/01/2006
Last updated
07/09/2007
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