Provider Demographics
NPI:1013017573
Name:BECK, CHRISTY (MED, NCC, LPC)
Entity Type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:
Last Name:BECK
Suffix:
Gender:F
Credentials:MED, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1205
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16804-1205
Mailing Address - Country:US
Mailing Address - Phone:814-409-7744
Mailing Address - Fax:
Practice Address - Street 1:101 W CLEARVIEW AVE
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-1618
Practice Address - Country:US
Practice Address - Phone:814-409-7744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004022101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional