Provider Demographics
NPI:1598221350
Name:BECK, JOANNE RUTH
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:RUTH
Last Name:BECK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 GLENDON HILLS RD
Mailing Address - Street 2:
Mailing Address - City:BONDVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05340-9728
Mailing Address - Country:US
Mailing Address - Phone:802-779-1819
Mailing Address - Fax:
Practice Address - Street 1:10 GLENDON HILLS RD
Practice Address - Street 2:
Practice Address - City:BONDVILLE
Practice Address - State:VT
Practice Address - Zip Code:05340-9728
Practice Address - Country:US
Practice Address - Phone:802-779-1819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-18
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089.01279791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical