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NPI Code Detail

MEDICARE: DR. KIMBERLY M BELL PH.D.

MEDICARE: DR. KIMBERLY M BELL PH.D.
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
1103TC0700XClinical Psychologist6206OH

General Provider Information

NPI Number : 1417174681
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLY M BELL PH.D.
Provider Business Mailing Address
First Line : 3327 DELLWOOD RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44118-3404
Country : US
Telephone Number : 216-407-8870
Fax Number :
Provider Business Practice Location Address
First Line : 19910 MALVERN RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-2823
Country : US
Telephone Number : 216-929-0223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 07/08/2007

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