Provider Demographics
NPI:1437290749
Name:BECK, ALLISON B (MS,RD-AP,CNSC, CSP)
Entity Type:Individual
Prefix:MISS
First Name:ALLISON
Middle Name:B
Last Name:BECK
Suffix:
Gender:F
Credentials:MS,RD-AP,CNSC, CSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7063 CLOISTER RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43617-2209
Mailing Address - Country:US
Mailing Address - Phone:443-912-8334
Mailing Address - Fax:
Practice Address - Street 1:2222 CHERRY ST STE 1600
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608
Practice Address - Country:US
Practice Address - Phone:419-251-8042
Practice Address - Fax:419-251-7714
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2119133V00000X
OH8034133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered