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NPI Code Detail

MEDICARE: JARROD BELCHER M.A.

MEDICARE: JARROD BELCHER M.A.
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1619285418
Entity Type Code : Individual
Provider Name (Legal Business Name) : JARROD BELCHER M.A.
Provider Business Mailing Address
First Line : RR 3 BOX 215C
Second Line :
City : DELBARTON
State : WV
Zip : 25670-9718
Country : US
Telephone Number : 304-475-5201
Fax Number :
Provider Business Practice Location Address
First Line : 41 W 5TH AVE
Second Line :
City : WILLIAMSON
State : WV
Zip : 25661-3201
Country : US
Telephone Number : 305-235-3390
Fax Number : 304-235-3391
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2010
Last Update Date : 09/15/2010

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