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Individual

ERNEST EDWARD BECKHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
4601 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-4815
(405) 840-9999
(405) 840-9998
Mailing address
4601 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-4815
(405) 840-9999
(405) 840-9998

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
317
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100841560A
OK
Enumeration date
03/14/2006
Last updated
11/08/2013
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