Provider Demographics
NPI:1992128334
Name:BECK, RODNEY (MS)
Entity type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:
Last Name:BECK
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 CLEARFIELD ST
Mailing Address - Street 2:
Mailing Address - City:OIL CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16301-1524
Mailing Address - Country:US
Mailing Address - Phone:814-678-3924
Mailing Address - Fax:814-678-3924
Practice Address - Street 1:26 CLEARFIELD ST
Practice Address - Street 2:
Practice Address - City:OIL CITY
Practice Address - State:PA
Practice Address - Zip Code:16301-1524
Practice Address - Country:US
Practice Address - Phone:814-678-3924
Practice Address - Fax:814-678-3924
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-21
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst