Organization · NPI-2

Emily Beck, Ph.D., PLLC

Clinic/Center, Adult Mental Health · Johnson City, TN

NPI number1942699798
StatusActive
Last updated in NPPESJan 16, 2015

Details

NPI
1942699798
Entity type
Organization (NPI-2)
Legal business name
Emily Beck, Ph.D., PLLC
Organization subpart
No
Enumeration date
Jan 16, 2015
Last updated
Jan 16, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health3227TNYes

Practice location

2700 S Roan St
Suite 205
Johnson City, TN 37601-7556

Phone 423-930-4711

Mailing address

1010 Grace Dr
Johnson City, TN 37604-2904

Phone 423-930-4711

Authorized official

Emily K Beck
Clinical Psychologist
4239304711

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