Black, Becky E

Black, Becky E is an individual health care provider with primary practice located at 1772 Santa Cruz St , Laguna Beach CA 92651-3352. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Black, Becky E can be contacted via phone (949) 290-4016.

Contact Information

Primary practice address
1772 Santa Cruz St Laguna Beach CA 92651-3352
Phone: (949) 290-4016
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 709236 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 36620 California

Profile Details

NPI number 1831416460
LBN Legal business name Black, Becky E
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2010
Last updated Jan 6th, 2023 - about last year

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 1831416460 NPPES
Oregon Other 1831416460 NOT SURE HOW TO ANSWER THIS

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