Edward Leonard Bielawski, M.A.
Individual provider Active NPI Psychologist · Olyphant, PA
NPI 1861663080 · NPPES record last updated Mar 14, 2008
Key facts
- NPI
- 1861663080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PS-003649-L (PA)
- Practice address
- 606 Washington Ave
Olyphant, PA 18447-2161 - Phone
- (570) 489-4882
- NPI assigned
- Mar 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS-003649-L | PA | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS-003649-L | PA | Yes |
Addresses
Primary practice location
606 Washington Ave
Olyphant, PA 18447-2161
Mailing address
606 Washington Ave
Olyphant, PA 18447-2161
Phone (570) 489-4882
Other providers in Olyphant, PA
- Amedisys Pennsylvania, L.L.C.
- Jonathan T Blake
- Laura Booths
- Keith Brislin
- Jessica Marie Bullock
- Nastasha Elena Burdyn
All providers in Olyphant, PA · Psychologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.