Individual
MRS. SUSAN KREH BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPES, SCHOOLPSYCH II
Contact information
Practice address
304 FIREBRIDGE RD, COLUMBIA, SC 29223-5122
(803) 206-5343
Mailing address
304 FIREBRIDGE RD, COLUMBIA, SC 29223-5122
(803) 206-5343
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
3753
SC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
3753
SC
103TS0200X
School Psychologist
Primary
3753
SC
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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