National Provider Identifier

Jacqueline Becker, LCSW

Jacqueline Becker, LCSW is listed in the NPPES registry with a primary specialty of Specialist in Victor, NY and a listed phone number of (585) 924-7207.

NPI 1134430838Victor, NYSpecialist

Profile Overview

NPI
1134430838
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 28, 2010
Last Updated
November 03, 2011

Practice Location

  • 590 Fishers Station Dr
  • Suite 130
  • Victor, NY 14564-9744

Phone: (585) 924-7207

Specialties

  • Specialist (174400000X)
Full Record
NPI
1134430838
Entity Type
Individual
Last Name
Becker
First Name
Jacqueline
Credential
LCSW
Mailing Street Address
590 Fishers Station Dr
Mailing Address Line 2
Suite 130
Mailing City
Victor
Mailing State
NY
Mailing ZIP Code
14564-9744
Mailing Country
US
Mailing Phone
(585) 924-7207
Mailing Fax
(585) 924-7049
Practice Street Address
590 Fishers Station Dr
Practice Address Line 2
Suite 130
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-9744
Practice Country
US
Practice Phone
(585) 924-7207
Practice Fax
(585) 924-7049
Enumeration Date
June 28, 2010
Last Updated
November 03, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)
Other Identifiers
30-0213081 (NY, Tax Id)