Provider Demographics
NPI:1720775653
Name:BECK, MEGAN JANE
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:JANE
Last Name:BECK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:722 CRAIG ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41011-2327
Mailing Address - Country:US
Mailing Address - Phone:253-549-5443
Mailing Address - Fax:
Practice Address - Street 1:722 CRAIG ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41011-2327
Practice Address - Country:US
Practice Address - Phone:253-549-5443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator