Healthcare Provider Details

I. General information

NPI: 1851139059
Provider Name (Legal Business Name): KRISTA DANIELLE BELCHER MS CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2024
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9020 SENCA DR STE 220
WILMINGTON NC
28411-6680
US

IV. Provider business mailing address

9020 SENCA DR STE 220
WILMINGTON NC
28411-6680
US

V. Phone/Fax

Practice location:
  • Phone: 910-264-9317
  • Fax:
Mailing address:
  • Phone: 304-840-3009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP-2588
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30004836
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30004836
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: