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DR. THOMAS BECKER MD
Psychiatry >> Psychiatry & Neurology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1912095530
Individual Registrant:DR. THOMAS BECKER MD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
881 FREMONT AVE SUITE B2 LOS ALTOS, CA 94024-5697 US
Tel: 650-344-6961 Fax: --
Tel: 650-344-6961 Fax: --
Contact information for business:
1 BAYWOOD AVE SUITE 7 SAN MATEO, CA 94402-1537 US
Tel: 650-344-6961 Fax: --
Tel: 650-344-6961 Fax: --
Registration Information:
NPI: 1912095530
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2084P0800X | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry | CA | G69515 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| STATE LICENSE NUMBER | G69515 | CA | 01 |
