Individual
MS. MARIANA BELVEDERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
503 CENTRE VIEW BLVD., MCB BEHAVIORAL HEALTH, CRESTVIEW HILLS, KY 41017-3444
(859) 426-7800
(859) 426-7804
Mailing address
503 CENTRE VIEW BLVD., CRESTVIEW HILLS, KY 41017-3444
(859) 426-7800
(859) 426-7804
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1304
KY
103TC0700X
Clinical Psychologist
5899
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
770614456
TAX IDENTIFICATION NUMBER
—
05
—
89000863
—
KY
Enumeration date
12/02/2005
Last updated
09/09/2010
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