Provider Demographics
NPI:1952364622
Name:BECKSTEAD, ARVEL LEE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ARVEL
Middle Name:LEE
Last Name:BECKSTEAD
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 1:1433 S 1100 E
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84105-2434
Mailing Address - Country:US
Mailing Address - Phone:801-556-8110
Mailing Address - Fax:888-203-8291
Practice Address - Street 1:1400 FOOTHILL DR
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84108-2327
Practice Address - Country:US
Practice Address - Phone:801-581-0422
Practice Address - Fax:801-581-0764
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT51536992501103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling