Provider Demographics
NPI:1841289378
Name:BECK, HENRY W (PHD)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:W
Last Name:BECK
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 POTTER DR
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-2977
Mailing Address - Country:US
Mailing Address - Phone:215-661-8867
Mailing Address - Fax:
Practice Address - Street 1:412 E KING ST
Practice Address - Street 2:FL 2
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-3004
Practice Address - Country:US
Practice Address - Phone:215-353-2530
Practice Address - Fax:215-353-2530
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-18
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW-000107-L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
000633758Medicare ID - Type Unspecified
RO7628Medicare UPIN