Provider Demographics
NPI:1275603011
Name:BELCH, JAMES JONATHAN (MS CCC A)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:JONATHAN
Last Name:BELCH
Suffix:
Gender:M
Credentials:MS CCC A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:822 HILLSIDE DRIVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412
Mailing Address - Country:US
Mailing Address - Phone:910-352-0035
Mailing Address - Fax:
Practice Address - Street 1:3311 BURNT MILL DRIVE
Practice Address - Street 2:WILMINGTON CDSA
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403
Practice Address - Country:US
Practice Address - Phone:910-251-5817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4844231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist