Provider Demographics
NPI:1427811892
Name:BIALY, KLAUDIA (PSYCHOLOGY ASSOCIATE)
Entity type:Individual
Prefix:
First Name:KLAUDIA
Middle Name:
Last Name:BIALY
Suffix:
Gender:F
Credentials:PSYCHOLOGY ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 ALICEANNA ST APT 389
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-3860
Mailing Address - Country:US
Mailing Address - Phone:201-675-3429
Mailing Address - Fax:
Practice Address - Street 1:2001 ALICEANNA ST APT 389
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-3860
Practice Address - Country:US
Practice Address - Phone:201-675-3429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA0914101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor