Provider Demographics
NPI:1699077289
Name:BECHT PSYCHOLOGICAL SERVICES,PLC
Entity type:Organization
Organization Name:BECHT PSYCHOLOGICAL SERVICES,PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:BECHT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:517-449-8824
Mailing Address - Street 1:2218 CUMBERLAND RD
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48906-3721
Mailing Address - Country:US
Mailing Address - Phone:517-323-0799
Mailing Address - Fax:
Practice Address - Street 1:4970 NORTHWIND DR
Practice Address - Street 2:STE 225
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-5080
Practice Address - Country:US
Practice Address - Phone:517-449-8824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-02
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301005567103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty