Provider Demographics
NPI:1114270758
Name:BECKLES, FRANCES N (DSW)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:N
Last Name:BECKLES
Suffix:
Gender:F
Credentials:DSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 RIVER OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-6359
Mailing Address - Country:US
Mailing Address - Phone:410-484-7277
Mailing Address - Fax:410-484-7503
Practice Address - Street 1:84 RIVER OAKS CIR
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-6359
Practice Address - Country:US
Practice Address - Phone:410-484-7277
Practice Address - Fax:410-484-7503
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-19
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02281101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional