Provider Demographics
NPI:1770738338
Name:BECK, MARISHA LEIGH (AUD, CCC-A, FAAA)
Entity type:Individual
Prefix:DR
First Name:MARISHA
Middle Name:LEIGH
Last Name:BECK
Suffix:
Gender:F
Credentials:AUD, CCC-A, FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BIG SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:79720-2718
Mailing Address - Country:US
Mailing Address - Phone:432-606-1933
Mailing Address - Fax:432-400-3929
Practice Address - Street 1:706 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BIG SPRING
Practice Address - State:TX
Practice Address - Zip Code:79720-2718
Practice Address - Country:US
Practice Address - Phone:432-606-1933
Practice Address - Fax:432-400-3929
Is Sole Proprietor?:No
Enumeration Date:2008-11-24
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80110231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist