Individual
MARK R BEIDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
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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