Provider Demographics
NPI:1154463008
Name:WORLEY, BELINDA JEAN (MS-SLP-CCC)
Entity Type:Individual
Prefix:MRS
First Name:BELINDA
Middle Name:JEAN
Last Name:WORLEY
Suffix:
Gender:F
Credentials:MS-SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 ELLARE LN
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MO
Mailing Address - Zip Code:63841-2806
Mailing Address - Country:US
Mailing Address - Phone:573-624-9406
Mailing Address - Fax:
Practice Address - Street 1:703 ELLARE LN
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:MO
Practice Address - Zip Code:63841-2806
Practice Address - Country:US
Practice Address - Phone:573-624-9406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001006909235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist