| Philip R. Belzunce, Ph.d. Inc. | |
|
22380 Berry Dr Rocky River OH 44116-2016 | |
| (440) 333-4105 | |
| (440) 398-2623 |
| Full Name | Philip R. Belzunce, Ph.d. Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 22380 Berry Dr, Rocky River, Ohio |
| Authorized Official Name and Position | Philip Ruiz Belzunce (PSYCHOLOGIST OWNER) |
| Authorized Official Contact | 4403334105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Philip R. Belzunce, Ph.d. Inc. 22380 Berry Dr Rocky River OH 44116-2016 Ph: (440) 333-4105 | Philip R. Belzunce, Ph.d. Inc. 22380 Berry Dr Rocky River OH 44116-2016 Ph: (440) 333-4105 |
| NPI Number | 1134335110 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 07/15/2008 |
| Medicare PECOS PAC ID | 3476983958 |
|---|---|
| Medicare Enrollment ID | O20200423003195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134335110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3230 (Ohio) | Primary |
| 103T00000X | Psychologist | 3238 (Ohio) | Secondary |
| Provider Name | Philip Belzunce |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831256296 PECOS PAC ID: 0648600122 Enrollment ID: I20200425000019 |
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