MEDICARE: DR. BELINDA RICHARDSON PH,D.

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	200860	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275866469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BELINDA RICHARDSON PH,D.

Provider Business Mailing Address
First Line	:	8930 FOURWINDS DR
Second Line	:	SUITE 200
City	:	WINDCREST
State	:	TX
Zip	:	78239-1970
Country	:	US
Telephone Number	:	210-778-8256
Fax Number	:	800-934-2059

Provider Business Practice Location Address
First Line	:	8930 FOURWINDS DR
Second Line	:	SUITE 200
City	:	WINDCREST
State	:	TX
Zip	:	78239-1970
Country	:	US
Telephone Number	:	210-778-8256
Fax Number	:	800-934-2059

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

Provider Enumeration Date	:	09/07/2009
Last Update Date	:	05/22/2012

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Directions to “ DR. BELINDA RICHARDSON PH,D.” Practice Location

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