=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467535047
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BELINDA J TORRES PHD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/24/2006
-----------------------------------------------------
Last Update Date | 11/13/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 35040 CHARDON RD STE 115
-----------------------------------------------------
City | WILLOUGHBY HILLS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44094-9004
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-358-1159
-----------------------------------------------------
Fax | 440-445-0656
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 35040 CHARDON RD STE 115
-----------------------------------------------------
City | WILLOUGHBY HILLS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44094-9004
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-358-1159
-----------------------------------------------------
Fax | 440-445-0656
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number | 5109
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------