| Kathryn A Biddle Katebiddlellc | |
|
2655 Dodd Rd Willoughby Hills OH 44094-9652 | |
| (440) 667-7353 | |
| Not Available |
| Full Name | Kathryn A Biddle Katebiddlellc |
|---|---|
| Speciality | Social Worker |
| Location | 2655 Dodd Rd, Willoughby Hills, Ohio |
| Authorized Official Name and Position | Kathryn A Biddle (PRESIDENT/OWNER) |
| Authorized Official Contact | 4406677353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn A Biddle Katebiddlellc 2655 Dodd Rd Willoughby Hills OH 44094-9652 Ph: () - | Kathryn A Biddle Katebiddlellc 2655 Dodd Rd Willoughby Hills OH 44094-9652 Ph: (440) 667-7353 |
| NPI Number | 1972130417 |
|---|---|
| Provider Enumeration Date | 03/25/2020 |
| Last Update Date | 03/25/2020 |
| Certification Date | 03/25/2020 |
| Medicare PECOS PAC ID | 6305261694 |
|---|---|
| Medicare Enrollment ID | O20200804000881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972130417 | NPI | - | NPPES |
| 0268768 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kathryn A Biddle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932405370 PECOS PAC ID: 6709166408 Enrollment ID: I20161215001986 |
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