Provider Demographics
NPI:1003007394
Name:BECHARD, JOSEPH ANDREW (MSW EDS LLP)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ANDREW
Last Name:BECHARD
Suffix:
Gender:M
Credentials:MSW EDS LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 WEST 8TH STREET
Mailing Address - Street 2:SUITE 250
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423
Mailing Address - Country:US
Mailing Address - Phone:616-836-9636
Mailing Address - Fax:616-393-0903
Practice Address - Street 1:36 WEST 8TH STREET
Practice Address - Street 2:SUITE 250 CENTER FOR PSYCHO EDUCATIONAL SERVICES
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423
Practice Address - Country:US
Practice Address - Phone:616-836-9636
Practice Address - Fax:616-393-0903
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MILLP 6301009260103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist