Provider Demographics
NPI:1083954978
Name:BINGAMAN, BECKY A (RRT)
Entity Type:Individual
Prefix:MRS
First Name:BECKY
Middle Name:A
Last Name:BINGAMAN
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12130 FINGERBOARD RD
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:MD
Mailing Address - Zip Code:21770-9106
Mailing Address - Country:US
Mailing Address - Phone:570-490-3108
Mailing Address - Fax:
Practice Address - Street 1:12130 FINGERBOARD RD
Practice Address - Street 2:
Practice Address - City:MONROVIA
Practice Address - State:MD
Practice Address - Zip Code:21770-9106
Practice Address - Country:US
Practice Address - Phone:570-490-3108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-01
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDL0005708227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered