Provider Demographics
NPI:1356463764
Name:BIELEFELD, JOAN LEIDY (MD)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:LEIDY
Last Name:BIELEFELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1122 KENILWORTH DR
Mailing Address - Street 2:SUITE 315
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2139
Mailing Address - Country:US
Mailing Address - Phone:410-823-1600
Mailing Address - Fax:410-823-0593
Practice Address - Street 1:1122 KENILWORTH DR
Practice Address - Street 2:SUITE 315
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2139
Practice Address - Country:US
Practice Address - Phone:410-823-1600
Practice Address - Fax:410-823-0593
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD00281922084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry