Judith M Beck

Individual provider Active NPI Marriage & Family Therapist · Rhinelander, WI

NPI 1104017219 · NPPES record last updated Aug 5, 2007

Key facts

NPI
1104017219
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
525124 (WI)
Practice address
2251 N Shore Dr Ste 100
Rhinelander, WI 54501-8360
Phone
(715) 361-2886
Fax
(715) 361-2877
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
525124WIMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 525124 WI Yes

Addresses

Primary practice location

2251 N Shore Dr Ste 100
Rhinelander, WI 54501-8360

Mailing address

2251 N Shore Dr Ste 100
Rhinelander, WI 54501-8360
Phone (715) 361-2886

Other providers in Rhinelander, WI

All providers in Rhinelander, WI · Marriage & Family Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.