# MARK R BEIDELMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194927855
- **Gender:** Man
- **Credential:** PSYD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 25375 | CA | — |
| 103TC0700X | Clinical Psychologist | PSY25375 | CA | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | PSY25375 | CA | Yes |

## Other

- **Enumeration date:** 06/04/2007
- **Last updated:** 04/27/2024