MEDICARE: BRITNEY LORAN BELLES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1992378160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITNEY LORAN BELLES

Provider Business Mailing Address
First Line	:	7877 HYMAN DR
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38133-2863
Country	:	US
Telephone Number	:	901-517-9606
Fax Number	:

Provider Business Practice Location Address
First Line	:	6952 DOGWOOD MANOR NORTH
Second Line	:	SUITE 101
City	:	OLIVE BRANCH
State	:	MS
Zip	:	38654
Country	:	US
Telephone Number	:	662-932-4625
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2021
Last Update Date	:	08/03/2022

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Directions to “ BRITNEY LORAN BELLES ” Practice Location

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