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Contact Information

BEVERLY J BLEIDT PHD LLC
4009 PLYMOUTH RD
LOUISVILLE, KY40207
 Phone: 502-897-9737
 Fax: 502-897-9737
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BEVERLY J BLEIDT PHD LLC · (Female)

NPI Number 1568480408
Status Active
Credentials
Entity Individual
Enumeration date 07/18/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 0414
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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