Provider Demographics
NPI:1720080260
Name:BECK, JUNE GAYLE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JUNE
Middle Name:GAYLE
Last Name:BECK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8610 TRANSIT RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-2608
Mailing Address - Country:US
Mailing Address - Phone:716-645-3650
Mailing Address - Fax:716-645-3801
Practice Address - Street 1:8610 TRANSIT RD
Practice Address - Street 2:SUITE 2
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-2608
Practice Address - Country:US
Practice Address - Phone:716-645-3650
Practice Address - Fax:716-645-3801
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY011918103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11343BMedicare UPIN