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Individual

MARIA L BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
HSPP

Contact information

Practice address
310 N IRONWOOD DR, SOUTH BEND, IN 46615-2520
(574) 287-6333
(574) 287-5651
Mailing address
1159 E VICTORIA ST, SOUTH BEND, IN 46614-1445
(574) 287-3137
(574) 287-5651

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041739A
IN

Other

Enumeration date
02/28/2006
Last updated
07/19/2007
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