Provider Demographics
NPI:1285830943
Name:BELCZYK, TONYA YAROS (MACCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:YAROS
Last Name:BELCZYK
Suffix:
Gender:F
Credentials:MACCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11048 CHAPLESTONE RD
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE
Mailing Address - State:OH
Mailing Address - Zip Code:43571-9303
Mailing Address - Country:US
Mailing Address - Phone:419-877-5835
Mailing Address - Fax:
Practice Address - Street 1:11048 CHAPLESTONE RD
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE
Practice Address - State:OH
Practice Address - Zip Code:43571-9303
Practice Address - Country:US
Practice Address - Phone:419-877-5835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH8152235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist