Individual
MARY ELLEN BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500
(303) 449-6029
Mailing address
1723 STONEHENGE DR, LAFAYETTE, CO 80026-9113
(303) 955-0876
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
43170
CO
2084P0800X
Psychiatry Physician
A79433
CA
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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