Provider Demographics
NPI:1952989865
Name:BECK, SETH ANDREW (PSYD)
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:ANDREW
Last Name:BECK
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22047 STATE RD 7
Mailing Address - Street 2:
Mailing Address - City:BACO RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428
Mailing Address - Country:US
Mailing Address - Phone:561-482-8072
Mailing Address - Fax:561-482-7571
Practice Address - Street 1:22047 STATE RD 7
Practice Address - Street 2:
Practice Address - City:BACO RATON
Practice Address - State:FL
Practice Address - Zip Code:33428
Practice Address - Country:US
Practice Address - Phone:561-482-8072
Practice Address - Fax:561-482-7571
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4189101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health