Provider Demographics
NPI:1174180392
Name:BECHARD, GRETCHEN (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:
Last Name:BECHARD
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 N GLENOAKS BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1118
Mailing Address - Country:US
Mailing Address - Phone:818-217-0460
Mailing Address - Fax:818-478-3327
Practice Address - Street 1:303 N GLENOAKS BLVD STE 200
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1118
Practice Address - Country:US
Practice Address - Phone:818-217-0460
Practice Address - Fax:818-478-3327
Is Sole Proprietor?:No
Enumeration Date:2019-05-22
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X, 235Z00000X
CARPE13313235Z00000X
CA29601235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician