Provider Demographics
NPI:1902827058
Name:BECK, VICKIE L (RN)
Entity Type:Individual
Prefix:
First Name:VICKIE
Middle Name:L
Last Name:BECK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:PO BOX 64515
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4515
Mailing Address - Country:US
Mailing Address - Phone:410-328-8476
Mailing Address - Fax:410-328-5882
Practice Address - Street 1:701 W PRATT ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1023
Practice Address - Country:US
Practice Address - Phone:410-328-2539
Practice Address - Fax:410-328-8552
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR1085582084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry