Provider Demographics
NPI:1073634481
Name:BECK, HEATHER LEE (BA)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:LEE
Last Name:BECK
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1675 CARR ST
Mailing Address - Street 2:SUITE 215 N
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80214-5939
Mailing Address - Country:US
Mailing Address - Phone:303-432-5741
Mailing Address - Fax:
Practice Address - Street 1:1675 CARR ST
Practice Address - Street 2:SUITE 215 N
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214-5939
Practice Address - Country:US
Practice Address - Phone:303-432-5741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator