Becker Pullman, Melody Deanne
Becker Pullman, Melody Deanne is an individual health care provider with primary practice located at 400 Central Ave Nw Ste 300 , Orange City IA 51041-1332. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Becker Pullman, Melody Deanne can be contacted via phone (712) 737-2635.Contact Information
Primary practice address
400 Central Ave Nw Ste 300
Orange City IA 51041-1332
Phone: (712) 737-2635
Fax: (712) 737-2344
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC-MH2204 | South Dakota |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC994 | South Dakota |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 083831 | Iowa |
Profile Details
NPI number | 1891853750 |
---|---|
LBN Legal business name | Becker Pullman, Melody Deanne |
Credentials | LMHC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 4th, 2006 |
Last updated | Mar 22nd, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891853750 | NPPES |
Iowa | Other | 083831 | STATE LICENSE |
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