Most Relevant Information
Provider Data
NPI Number: | 1003289091 |
Provider Name: | AMALIA BECKER B.S. |
Entity Type: | Individual |
Taxonomy Code: | 251S00000X |
Specialty: | Community/Behavioral Health |
License Number: |
Most Important Dates
Enumeration Date: | 11/12/2015 |
Last Updated: | 11/12/2015 |
Provider Practice Location
702 W MAIN ST
MADISON
WI
537151424
Practice Location Phone/Fax
Phone: | 6082802626 |
Fax: |
Provider Mailing Location
702 W MAIN ST
MADISON
WI
537151424
Provider Mailing Phone/Fax
Phone: | |
Fax: |