Basic Information
| Provider Information | |||||||||
| NPI: | 1003007394 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BECHARD | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | ANDREW | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | MSW EDS LLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 36 WEST 8TH STREET | ||||||||
| Address2: | SUITE 250 | ||||||||
| City: | HOLLAND | ||||||||
| State: | MI | ||||||||
| PostalCode: | 49423 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6168369636 | ||||||||
| FaxNumber: | 6163930903 | ||||||||
| Practice Location | |||||||||
| Address1: | 36 WEST 8TH STREET | ||||||||
| Address2: | SUITE 250 CENTER FOR PSYCHO EDUCATIONAL SERVICES | ||||||||
| City: | HOLLAND | ||||||||
| State: | MI | ||||||||
| PostalCode: | 49423 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6168369636 | ||||||||
| FaxNumber: | 6163930903 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/05/2007 | ||||||||
| LastUpdateDate: | 08/05/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103T00000X | LLP 6301009260 | MI | Y | Behavioral Health & Social Service Providers | Psychologist |
No ID Information.