Provider Demographics
NPI:1295066363
Name:BECCARIA, ALISE (DAC, LAC)
Entity type:Individual
Prefix:DR
First Name:ALISE
Middle Name:
Last Name:BECCARIA
Suffix:
Gender:F
Credentials:DAC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 SOUTH WESTGATE DRIVE UNIT J
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407
Mailing Address - Country:US
Mailing Address - Phone:203-947-3542
Mailing Address - Fax:888-918-4098
Practice Address - Street 1:315 S WESTGATE DR STE J
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-1631
Practice Address - Country:US
Practice Address - Phone:337-763-7685
Practice Address - Fax:888-918-4098
Is Sole Proprietor?:No
Enumeration Date:2010-01-28
Last Update Date:2017-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA370171100000X
CT500171100000X
NY4291171100000X
NC939171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist