Organization
MARIE BIELEFELD PHD ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE BIELEFELD PHD (PSYCHOLOGIST)
(440) 734-8164
Entity
Organization
Contact information
Practice address
20325 CENTER RIDGE RD, STE 703, ROCKY RIVER, OH 44116-3554
(440) 734-8164
(216) 896-0735
Mailing address
707 JAYCOX RD, AVON LAKE, OH 44012-2213
(440) 734-8164
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3779
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806220
—
OH
Enumeration date
01/30/2006
Last updated
08/22/2020
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