Individual
DR. MILTON EDWARD BECKNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7244 FAR HILLS AVE, CENTERVILLE, OH 45459-4207
(937) 684-2035
(937) 395-1311
Mailing address
7244 FAR HILLS AVE, CENTERVILLE, OH 45459-4207
(937) 684-2035
(937) 395-1311
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
5682
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2453394
—
OH
01
—
MIS586680000
GREEN SPRING (MAGELLAN)
OH
Enumeration date
09/03/2006
Last updated
03/30/2016
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