| Danielle Beloso Psyd, Llc | |
|
2555 E 55th Pl Suite 202 Indianapolis IN 46220-3549 | |
| (317) 931-9241 | |
| Not Available |
| Full Name | Danielle Beloso Psyd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2555 E 55th Pl, Indianapolis, Indiana |
| Authorized Official Name and Position | Danielle Blaise Beloso (PSYCHOLOGIST) |
| Authorized Official Contact | 3179319241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Beloso Psyd, Llc 2555 E 55th Pl Suite 202 Indianapolis IN 46220-3549 Ph: (317) 931-9241 | Danielle Beloso Psyd, Llc 2555 E 55th Pl Suite 202 Indianapolis IN 46220-3549 Ph: (317) 931-9241 |
| NPI Number | 1104251016 |
|---|---|
| Provider Enumeration Date | 09/10/2013 |
| Last Update Date | 09/10/2013 |
| Medicare PECOS PAC ID | 9133354764 |
|---|---|
| Medicare Enrollment ID | O20220322002885 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104251016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20042422A (Indiana) | Primary |
| Provider Name | Danielle B Beloso |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326244328 PECOS PAC ID: 3375677099 Enrollment ID: I20220323001108 |
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