Individual
AARON R BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
715 RICHLAND MALL, ONTARIO, OH 44906-3802
(419) 462-4588
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455
(419) 468-0522
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5817
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2285601
—
OH
01
—
288580
MANAGED HEALTH NETWORK
OH
01
—
3554-01
MT CARMEL BEHAV HEALTH
OH
Enumeration date
10/10/2005
Last updated
12/28/2020
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