Provider Demographics
NPI:1518495993
Name:BECK, DENA M (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:DENA
Middle Name:M
Last Name:BECK
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:MRS
Other - First Name:DENA
Other - Middle Name:BECK
Other - Last Name:GROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:68681 SHEPARD DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-9759
Mailing Address - Country:US
Mailing Address - Phone:740-827-1600
Mailing Address - Fax:
Practice Address - Street 1:66699 BELMONT MORRISTOWN RD
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:OH
Practice Address - Zip Code:43718-9568
Practice Address - Country:US
Practice Address - Phone:740-782-1385
Practice Address - Fax:740-782-1385
Is Sole Proprietor?:No
Enumeration Date:2017-05-30
Last Update Date:2017-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6177235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist