Individual
JULIE BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15826 CLAYTON RD, ELLISVILLE, MO 63011-2240
(636) 779-2600
Mailing address
1517 MAPLE LN, ELLISVILLE, MO 63011-2031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2009010349
MO
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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