Individual
JACQUELINE BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
17 E 102ND ST, NEW YORK, NY 10029-5204
(212) 659-8551
(212) 831-8116
Mailing address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(305) 582-4962
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
023364
NY
103TB0200X
Cognitive & Behavioral Psychologist
023364
NY
103TC0700X
Clinical Psychologist
023364
NY
Other
Enumeration date
05/17/2016
Last updated
10/16/2024
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