Marie Bielefeld Phd Associates Inc | |
20325 Center Ridge Rd Ste 703 Rocky River OH 44116-3554 | |
(440) 734-8164 | |
(216) 896-0735 |
Full Name | Marie Bielefeld Phd Associates Inc |
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Speciality | Psychologist |
Location | 20325 Center Ridge Rd, Rocky River, Ohio |
Authorized Official Name and Position | Marie Bielefeld (PSYCHOLOGIST) |
Authorized Official Contact | 4407348164 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Marie Bielefeld Phd Associates Inc 707 Jaycox Rd Avon Lake OH 44012-2213 Ph: (440) 734-8164 | Marie Bielefeld Phd Associates Inc 20325 Center Ridge Rd Ste 703 Rocky River OH 44116-3554 Ph: (440) 734-8164 |
NPI Number | 1649241498 |
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Provider Enumeration Date | 01/30/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 0143650507 |
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Medicare Enrollment ID | O20200427000662 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649241498 | NPI | - | NPPES |
806220 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 3779 (Ohio) | Primary |
Provider Name | Marie G Bielefeld |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1528030574 PECOS PAC ID: 3779524277 Enrollment ID: I20050516000138 |
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