Organization
JOANNA BIELENIN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA BIELENIN PHD (OWNER)
(734) 476-7282
Entity
Organization
Contact information
Practice address
300 N HURON ST, YPSILANTI, MI 48197-2842
(734) 476-7282
Mailing address
300 N HURON ST, YPSILANTI, MI 48197-2842
(734) 476-7282
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301005020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H11757
BCBS
MI
Enumeration date
02/26/2010
Last updated
02/26/2010
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