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Contact Information

LORI L BECKWITH, ED.D
9 OLD KINGS RD N STE 1231113
PALM COAST, FL32137-4603
 Phone: 618-342-8466
 Fax: 706-813-8199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for LORI L BECKWITH · (Female)

NPI # 1669776720
Status Active
Credentials ED.D
Entity Individual
Enumeration date 01/04/2011
Last updated 08/03/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # MH22468
  • IL License # 180.007683
  • MO License # 2010021564
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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