Belvedere, Mariana

Belvedere, Mariana is an sole proprietor health care provider with primary practice located at 503 Centre View Blvd. Mcb Behavioral Health, Crestview Hills KY 41017-3444. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Belvedere, Mariana can be contacted via phone (859) 426-7800.

Contact Information

Primary practice address
503 Centre View Blvd. Mcb Behavioral Health Crestview Hills KY 41017-3444
Fax: (859) 426-7804
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1304 Kentucky
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5899 Ohio

Profile Details

NPI number 1942284963
LBN Legal business name Belvedere, Mariana
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2005
Last updated Sep 9th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942284963 NPPES
Other 770614456 TAX IDENTIFICATION NUMBER
MEDICAID 89000863 TAX IDENTIFICATION NUMBER

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