Provider Demographics
NPI:1982763322
Name:BECKING, SHEILA M (PSY D)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:M
Last Name:BECKING
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 CHAPEL CT
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-2368
Mailing Address - Country:US
Mailing Address - Phone:612-735-2513
Mailing Address - Fax:763-559-0149
Practice Address - Street 1:1313 5TH ST SE
Practice Address - Street 2:SUITE 223B
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-4504
Practice Address - Country:US
Practice Address - Phone:612-735-2513
Practice Address - Fax:763-559-0149
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP4649103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical