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Individual
MARK R BEIDELMAN
Active
Individual
MARK R BEIDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
25375
CA
103TC0700X
Clinical Psychologist
PSY25375
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
PSY25375
CA
Other
Enumeration date
06/04/2007
Last updated
04/27/2024
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