Healthcare Provider Details

I. General information

NPI: 1245450816
Provider Name (Legal Business Name): ELIZABETH ANNE BEILSTEIN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 05/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

551 CINCINNATI-BATAVIA PIKE
CINCINNATI OH
45244
US

IV. Provider business mailing address

8173 EASTDALE DR
CINCINNATI OH
45255-4564
US

V. Phone/Fax

Practice location:
  • Phone: 513-752-1555
  • Fax: 513-753-2144
Mailing address:
  • Phone: 513-544-9384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6444
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: