Individual
HEIDI BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
450 E MAIN ST, PEN ARGYL, PA 18072
(610) 533-3868
(610) 881-4123
Mailing address
450 E MAIN ST, PEN ARGYL, PA 18072
(610) 533-3868
(610) 881-4123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL-004221-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001927797
PROMISE
PA
Enumeration date
04/04/2007
Last updated
02/24/2016
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