Individual
MRS. BARBARA A BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
26 LAKE TERRACE, LAKE RONKONKOMA, NY 11779
(631) 981-3525
(631) 981-3525
Mailing address
123 BAYVIEW TERRACE, PORT JEFFESON, NY 11777
(631) 331-3181
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R0402091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067133
VALUE OPTIONS
—
01
—
P711450
OXFORD
—
01
—
Y037655
CHAMPUS TRICARE
—
Enumeration date
02/23/2007
Last updated
07/08/2007
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