Mrs Kelly Dziedzic, LLP is a
Psychologist based in Galesburg, Michigan. Mrs Kelly Dziedzic is licensed to practice in Michigan (license number 6361004240) and her current practice location is
8397 Fawn Meadow Trl, Galesburg, Michigan. She can be reached at her office (for appointments etc.) via phone at
(269) 760-0660.
NPI number for Mrs Kelly Dziedzic is 1821255423 and her current mailing address is 8397 Fawn Meadow Trl, Galesburg, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821255423.
Healthcare Provider's Profile
Full Name | Mrs Kelly Dziedzic |
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Gender | Female |
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Speciality | Psychologist |
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Location | 8397 Fawn Meadow Trl, Galesburg, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821255423
- Provider Enumeration Date: 05/21/2008
- Last Update Date: 03/31/2024
Medical Identifiers
Medical identifiers for Mrs Kelly Dziedzic such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821255423 | NPI | - | NPPES |
1708146 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 6361004240 (Michigan) | Primary |
103TC1900X | Psychologist - Counseling | 6361004240 (Michigan) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelly Dziedzic is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kelly Dziedzic, LLP 8397 Fawn Meadow Trl, Galesburg, MI 49053-7745 Ph: (269) 760-0660 | Mrs Kelly Dziedzic, LLP 8397 Fawn Meadow Trl, Galesburg, MI 49053-7745 Ph: (269) 760-0660 |
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