Individual
DR. ROBERT ALAN BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
763 S NEW BALLAS RD, SUITE 302, SAINT LOUIS, MO 63141-8704
(314) 994-7009
(314) 692-7929
Mailing address
763 S NEW BALLAS RD, SUITE 302, SAINT LOUIS, MO 63141-8704
(314) 994-7009
(314) 692-7929
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 01039
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17427
BLUE CROSS BLUE SCHIELD
MO
Enumeration date
08/14/2006
Last updated
07/08/2007
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