MEDICARE: KAREN ESELSON BELDING PSYD LLC

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
1	103T00000X	Psychologist	PS005493-L	PA

General Provider Information

NPI Number	:	1730679275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAREN ESELSON BELDING PSYD LLC

Provider Business Mailing Address
First Line	:	255 S 17TH ST STE 2510
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-6206
Country	:	US
Telephone Number	:	215-732-4229
Fax Number	:

Provider Business Practice Location Address
First Line	:	255 S 17TH ST STE 2510
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-6206
Country	:	US
Telephone Number	:	215-732-4229
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KAREN E BELDING
Credential	:	PSYD
Telephone Number	:	215-732-4229

Provider Enumeration Date	:	05/10/2018
Last Update Date	:	05/10/2018

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