Individual
MRS. ELLEN RENEE BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
444 4TH ST W, DICKINSON, ND 58601-4951
(701) 456-0015
(701) 456-0001
Mailing address
1491 13TH ST W, DICKINSON, ND 58601-3547
(701) 483-1491
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
23
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54098
—
ND
Enumeration date
02/28/2007
Last updated
07/09/2007
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