Organization
MILTON E. BECKNELL, PH.D., LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILTON EDWARD BECKNELL PH.D. (CLINICAL PSYCHOLOGIST)
(937) 684-2035
Entity
Organization
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
103TC0700X
Clinical Psychologist
Primary
5682
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000351504
ANTHEM BLUE CROSS BLUE SHIELD; BLUE CROSS BLUE SHIELD FEDERAL
OH
01
—
500973319
UNITED BEHAVIORAL HEALTH
OH
01
—
7155596
AETNA
OH
Enumeration date
04/30/2008
Last updated
02/24/2014
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