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NPI Code Detail

MEDICARE: KRISTYN NICOLE BELJAN

MEDICARE: KRISTYN NICOLE BELJAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TS0200XSchool PsychologistOH3151534OH

General Provider Information

NPI Number : 1114341294
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTYN NICOLE BELJAN
Provider Business Mailing Address
First Line : 3614 MADISON RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45209-1122
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 VIKING WAY
Second Line :
City : CINCINNATI
State : OH
Zip : 45246-1138
Country : US
Telephone Number : 513-864-2033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2014
Last Update Date : 02/11/2014

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Directions to “ KRISTYN NICOLE BELJAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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