Beck, Alan Dodge

Beck, Alan Dodge is an sole proprietor health care provider with primary practice located at 46 Waban Ave , Waban MA 02468-2143. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Beck, Alan Dodge can be contacted via phone (617) 525-3572.

Contact Information

Primary practice address
46 Waban Ave Waban MA 02468-2143
Fax: (617) 527-3573
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 569 Massachusetts

Profile Details

NPI number 1912110206
LBN Legal business name Beck, Alan Dodge
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912110206 NPPES
Massachusetts Other W01490 BLUE CROSS BLUE SHIELD

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