Provider Demographics
NPI:1477182319
Name:BECK, KATHERINE (LPCMH)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:BECK
Suffix:
Gender:F
Credentials:LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 WILLINGS WAY
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-3953
Mailing Address - Country:US
Mailing Address - Phone:609-226-0399
Mailing Address - Fax:
Practice Address - Street 1:30 PRESTBURY SQ STE 302
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-3235
Practice Address - Country:US
Practice Address - Phone:302-298-0541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-03
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE2017604535101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional