Provider Demographics
NPI:1548381213
Name:BECKER, STEPHANIE J (ND)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:J
Last Name:BECKER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 K ST NW
Mailing Address - Street 2:SUITE 801
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-1507
Mailing Address - Country:US
Mailing Address - Phone:202-457-8282
Mailing Address - Fax:866-883-8282
Practice Address - Street 1:1701 K ST NW
Practice Address - Street 2:SUITE 801
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1507
Practice Address - Country:US
Practice Address - Phone:202-457-8282
Practice Address - Fax:866-883-8282
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNP-0007175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath