Individual
DR. BONITA IRENE BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1499 CHAIN BRIDGE RD, SUITE 200, MCLEAN, VA 22101-5704
(703) 821-6858
(703) 578-3358
Mailing address
1499 CHAIN BRIDGE RD, SUITE 200, MCLEAN, VA 22101-5704
(703) 821-6858
(703) 578-3358
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227945
ANTHEM BCBS
VA
01
—
6431
CAREFIRST BCBS
VA
Enumeration date
01/31/2007
Last updated
07/08/2007
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