Healthcare Provider Details

I. General information

NPI: 1649134727
Provider Name (Legal Business Name): JUSTINE MORGANE BELDA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 OLD POST RD
OLD SAYBROOK CT
06475-4417
US

IV. Provider business mailing address

17 SUNSET RD
OLD SAYBROOK CT
06475-2006
US

V. Phone/Fax

Practice location:
  • Phone: 203-668-0619
  • Fax: 860-398-4333
Mailing address:
  • Phone: 203-668-0619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: