Provider Demographics
NPI:1043817562
Name:MEEHAN-BECQUER, FARRELL MARIE
Entity Type:Individual
Prefix:
First Name:FARRELL
Middle Name:MARIE
Last Name:MEEHAN-BECQUER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 S GRAPE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-3551
Mailing Address - Country:US
Mailing Address - Phone:952-215-7286
Mailing Address - Fax:
Practice Address - Street 1:420 E 58TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80216-1430
Practice Address - Country:US
Practice Address - Phone:720-854-0262
Practice Address - Fax:720-854-0263
Is Sole Proprietor?:No
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health