Provider Demographics
NPI:1376026286
Name:BECK, ANDIE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ANDIE
Middle Name:
Last Name:BECK
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13896 NE 66TH ST APT 590
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-9577
Mailing Address - Country:US
Mailing Address - Phone:443-668-7771
Mailing Address - Fax:
Practice Address - Street 1:1119 SW 7TH ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-5215
Practice Address - Country:US
Practice Address - Phone:206-691-2598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-07
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist