Provider Demographics
NPI:1821305095
Name:BECHT, DENNIS J (PHD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:J
Last Name:BECHT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2218 CUMBERLAND RD
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48906-3721
Mailing Address - Country:US
Mailing Address - Phone:517-323-0799
Mailing Address - Fax:
Practice Address - Street 1:4970 NORTHWIND DR
Practice Address - Street 2:225
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-5080
Practice Address - Country:US
Practice Address - Phone:517-449-8824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301005567103T00000X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103T00000XBehavioral Health & Social Service ProvidersPsychologist