Provider Demographics
NPI:1932557238
Name:BECK, RHONDA L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:L
Last Name:BECK
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:RHONDA
Other - Middle Name:L
Other - Last Name:CURRY-BECK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:650 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40422-1235
Mailing Address - Country:US
Mailing Address - Phone:859-236-2726
Mailing Address - Fax:859-236-0373
Practice Address - Street 1:650 HIGH ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-1235
Practice Address - Country:US
Practice Address - Phone:859-236-2726
Practice Address - Fax:859-236-0373
Is Sole Proprietor?:No
Enumeration Date:2016-05-26
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY168149103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1790731081Medicaid