Organization
BECKIE M GRGICH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKIE GRGICH PST.D. (OWNER)
(719) 344-8779
Entity
Organization
Contact information
Practice address
1465 KELLY JOHNSON BLVD, SUITE 212, COLORADO SPRINGS, CO 80920-3955
(719) 344-8779
(719) 313-9210
Mailing address
PO BOX 3392, MONUMENT, CO 80132-3392
(719) 344-8779
(719) 333-9210
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0003041
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073579637
NPPES
NV
Enumeration date
06/16/2016
Last updated
06/16/2016
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