Provider Demographics
NPI:1710131636
Name:BECKMAN, BARRY MCCRATE (PSY-D)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:MCCRATE
Last Name:BECKMAN
Suffix:
Gender:M
Credentials:PSY-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS GROVE
Mailing Address - State:OH
Mailing Address - Zip Code:45830-1205
Mailing Address - Country:US
Mailing Address - Phone:419-659-5998
Mailing Address - Fax:
Practice Address - Street 1:200 N HIGH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS GROVE
Practice Address - State:OH
Practice Address - Zip Code:45830-1205
Practice Address - Country:US
Practice Address - Phone:419-659-5998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6451103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical