Provider Demographics
NPI:1871039578
Name:BECHHOFER, JOSEPH (PSYD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:BECHHOFER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6421 ELRAY DR
Mailing Address - Street 2:APT F
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-2930
Mailing Address - Country:US
Mailing Address - Phone:443-370-1877
Mailing Address - Fax:
Practice Address - Street 1:6421 ELRAY DR
Practice Address - Street 2:APT F
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-2930
Practice Address - Country:US
Practice Address - Phone:443-370-1877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05707103TC0700X, 103TC2200X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy