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Organization

BEVERLY J BLEIDT PHD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BEVERLY J BLEIDT PHD (CLINICAL PSYCHOLOGIST)
(502) 897-9737
Entity
Organization

Contact information

Practice address
4009 PLYMOUTH RD, LOUISVILLE, KY 40207
(502) 897-9737
(502) 897-9737
Mailing address
4009 PLYMOUTH RD, LOUISVILLE, KY 40207
(502) 897-9737
(502) 897-9737

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0414
KY

Other

Enumeration date
07/18/2006
Last updated
08/22/2020
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