Healthcare Provider Details
I. General information
NPI: 1538195052
Provider Name (Legal Business Name): TONITA ROCHELLE BELL-BUCK MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/25/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
PSC 78 BOX 1676
APO AP
96326
US
IV. Provider business mailing address
PSC 78 BOX 1676
APO USA
AP
JP
V. Phone/Fax
- Phone: 315
- Fax: 3648
- Phone: 315
- Fax: 3648
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 1400-C |
| License Number State | AR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: