Becker, Mark Ronald
Becker, Mark Ronald is an individual health care provider with primary practice located at 80118 Jasper Park Ave , Indio CA 92201-0817. He recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Becker, Mark Ronald can be contacted via phone (562) 719-5869.Contact Information
Primary practice address
80118 Jasper Park Ave
Indio CA 92201-0817
Phone: (562) 719-5869
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | PSY11090 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY11090 | California |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | PSY11090 | California |
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | PSY11090 | California |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY11090 | California |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | PSY11090 | California |
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | PSY11090 | California |
Profile Details
| NPI number | 1831120468 |
|---|---|
| LBN Legal business name | Becker, Mark Ronald |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Jul 22nd, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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