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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

NPI Number 1568480408
LBN Legal business name BEVERLY J BLEIDT PHD LLC
Authorized official BEVERLY BLEIDT - (CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/18/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
KY License # 0414
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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