Provider Demographics
NPI:1982450482
Name:BECK, EMILEE
Entity type:Individual
Prefix:
First Name:EMILEE
Middle Name:
Last Name:BECK
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3540 PUMP RD STE 1188
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23233-1115
Mailing Address - Country:US
Mailing Address - Phone:804-404-6270
Mailing Address - Fax:804-294-2775
Practice Address - Street 1:3540 PUMP RD STE 1188
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233-1115
Practice Address - Country:US
Practice Address - Phone:804-404-6270
Practice Address - Fax:804-294-2775
Is Sole Proprietor?:No
Enumeration Date:2024-04-25
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist