Individual
LISA NOELLE BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2362 COUNTRY RD, SHILOH, IL 62221-2570
(773) 659-9207
Mailing address
215 COLLEGE AVE, WEBSTER GROVES, MO 63119-1631
(314) 307-1597
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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