Provider Demographics
NPI:1225266711
Name:GIVENS, BELINDA VICKERS (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:VICKERS
Last Name:GIVENS
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:BELINDA
Other - Middle Name:LUCINDA
Other - Last Name:VICKERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:610 GLENFIELD CT
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-2378
Mailing Address - Country:US
Mailing Address - Phone:386-235-8576
Mailing Address - Fax:407-880-1453
Practice Address - Street 1:610 GLENFIELD CT
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-2378
Practice Address - Country:US
Practice Address - Phone:386-235-8576
Practice Address - Fax:407-880-1453
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA9883235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist