Individual
BRENT J BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDS, NCSP
Contact information
Practice address
1730 REGENT ST, GOSHEN, IN 46526-6305
(574) 534-4710
Mailing address
1216 S INDIANA AVE, GOSHEN, IN 46526-7298
(574) 533-3151
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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