Provider Demographics
NPI:1033482930
Name:MCGEE, BECKY (CDA)
Entity Type:Individual
Prefix:
First Name:BECKY
Middle Name:
Last Name:MCGEE
Suffix:
Gender:F
Credentials:CDA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1831 HWY 230
Mailing Address - Street 2:
Mailing Address - City:STRAWBERRY
Mailing Address - State:AR
Mailing Address - Zip Code:72469
Mailing Address - Country:US
Mailing Address - Phone:870-528-3699
Mailing Address - Fax:
Practice Address - Street 1:401 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CAVE CITY
Practice Address - State:AR
Practice Address - Zip Code:72521-9507
Practice Address - Country:US
Practice Address - Phone:870-283-1034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-23
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist