Provider Demographics
NPI:1447438320
Name:BECKER, JULIA M (PSYD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:M
Last Name:BECKER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8414 OLD MCGREGOR RD
Mailing Address - Street 2:UNIT B
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-6496
Mailing Address - Country:US
Mailing Address - Phone:254-716-9525
Mailing Address - Fax:254-731-2598
Practice Address - Street 1:8414 OLD MCGREGOR RD
Practice Address - Street 2:UNIT B
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-6496
Practice Address - Country:US
Practice Address - Phone:254-716-9525
Practice Address - Fax:254-731-2598
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-04
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33615103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical