Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1245462761 |
---|---|
Provider Name | Amanda Beck |
First Address | Akron, OH 44305-3838 |
Second Address | Akron, OH 44302-1801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2009 |
Last Update Date | 17/08/2009 |