Provider Demographics
NPI:1629348008
Name:BECKER, BRITTANY
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:
Last Name:BECKER
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 1:280 JACKSON RD
Mailing Address - Street 2:
Mailing Address - City:ATCO
Mailing Address - State:NJ
Mailing Address - Zip Code:08004-1645
Mailing Address - Country:US
Mailing Address - Phone:856-582-3900
Mailing Address - Fax:856-582-3663
Practice Address - Street 1:1 NEPTUNE DR N
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-2126
Practice Address - Country:US
Practice Address - Phone:856-582-3900
Practice Address - Fax:856-582-3663
Is Sole Proprietor?:No
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health