Provider Demographics
NPI:1194015479
Name:MYERS, BELINDA JOY (LMP)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:JOY
Last Name:MYERS
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:BELINDA
Other - Middle Name:JOY
Other - Last Name:SCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMP
Mailing Address - Street 1:6722 W KENNEWICK AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-1793
Mailing Address - Country:US
Mailing Address - Phone:509-366-8366
Mailing Address - Fax:866-300-0363
Practice Address - Street 1:6722 W KENNEWICK AVE
Practice Address - Street 2:SUITE B
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-1793
Practice Address - Country:US
Practice Address - Phone:509-366-8366
Practice Address - Fax:866-300-0363
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-08
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60211165174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist