Crystal M Beckham in Springfield - Clinical
Crystal M Beckham - NPI 1033308895
Crystal M Beckham is a Clinical in Springfield, Missouri. Crystal M Beckham practices all healthcare services and medical treatments related to Clinical. The NPI Number for Crystal M Beckham is 1033308895. The last update date is 2019-07-01.
Crystal M Beckham's current location address is 1300 E Bradford Pkwy, Springfield, Missouri. You can contact this provider via phone number 4177615000 and fax number 4177615065. The mailing address for Crystal M Beckham is 1300 E Bradford Pkwy, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal M Beckham |
|---|---|
| Address | 1300 E Bradford Pkwy, Springfield, Missouri |
| Phone Number | 4177615000 |
| Fax Number | 4177615065 |
| Sole Proprietor | N |
| Credentials | PSYD, LP |
NPI Number Detail
| NPI Number | 1033308895 |
|---|---|
| Provider Enumeration Date | 2007-10-17 |
| Last Updated Date | 2019-07-01 |
Provider Mailing Address Detail
| Address | 1300 E Bradford Pkwy |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658044264 |
| Phone Number | 4177615000 |
| Fax Number | 4177615065 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2006033334 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14148858 | CAQH |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Crystal M Beckham by the Centers for Medicare & Medicaid Services?
The Crystal M Beckham has been assigned the NPI (National Provider Identifier) 1033308895 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Crystal M Beckham is physically located?
The Crystal M Beckham is physically situated at the following address: 1300 E Bradford Pkwy, Springfield, MO, 658044264.
What is the Crystal M Beckham's area of specialization and corresponding taxonomy classification?
The Crystal M Beckham's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Crystal M Beckham receive its 1033308895 assignment from the Centers for Medicare & Medicaid Services?
The Crystal M Beckham was assigned its 1033308895 by the Centers for Medicare & Medicaid Services on 2007-10-17.
As of what date were the Crystal M Beckham's details last updated?
The information pertaining to the Crystal M Beckham, including its address, specialty, and other details, was most recently updated on 2019-07-01.