Provider Demographics
NPI:1538448618
Name:BECK, AMY MACHEL
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:MACHEL
Last Name:BECK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23872 E 1035 RD
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:OK
Mailing Address - Zip Code:73096-7521
Mailing Address - Country:US
Mailing Address - Phone:580-330-1868
Mailing Address - Fax:
Practice Address - Street 1:23872 E 1035 RD
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:OK
Practice Address - Zip Code:73096-7521
Practice Address - Country:US
Practice Address - Phone:580-330-1868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-08
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation