Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | LLP 6301009260 | MI |
Y | 103T00000X | Psychologist | LLP 6301009260 | MI |
NPI | 1003007394 |
---|---|
Provider Name | Mr. Joseph Andrew Bechard |
First Address | Holland, MI 49423 |
Second Address | Holland, MI 49423 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2007 |
Last Update Date | 05/08/2007 |