MEDICARE: MRS. BELINDA KING MSW, LSW

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	106H00000X	Marriage & Family Therapist	S0004915	OH

General Provider Information

NPI Number	:	1154631851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BELINDA KING MSW, LSW

Provider Business Mailing Address
First Line	:	1821 SUMMIT RD
Second Line	:	SUITE 216
City	:	CINCINNATI
State	:	OH
Zip	:	45237-2822
Country	:	US
Telephone Number	:	513-928-0023
Fax Number	:

Provider Business Practice Location Address
First Line	:	1821 SUMMIT RD
Second Line	:	SUITE 216
City	:	CINCINNATI
State	:	OH
Zip	:	45237-2822
Country	:	US
Telephone Number	:	513-928-0023
Fax Number	:

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

Provider Enumeration Date	:	10/15/2010
Last Update Date	:	10/15/2010

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