MEDICARE: MS. BELINDA A. ODELL SLP

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	235Z00000X	Speech-Language Pathologist	SA9735	FL
2	235Z00000X	Speech-Language Pathologist	SLP005622	GA

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851385256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BELINDA A. ODELL SLP

Provider Business Mailing Address
First Line	:	25 FOX DEN CT
Second Line	:
City	:	TALKING ROCK
State	:	GA
Zip	:	30175-7238
Country	:	US
Telephone Number	:	912-223-0967
Fax Number	:	706-698-1007

Provider Business Practice Location Address
First Line	:	25 FOX DEN CT
Second Line	:
City	:	TALKING ROCK
State	:	GA
Zip	:	30175-7238
Country	:	US
Telephone Number	:	912-223-0967
Fax Number	:	706-698-1007

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

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	06/01/2023

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Directions to “ MS. BELINDA A. ODELL SLP” Practice Location

Language	Start Address	Practice Location

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