Provider Demographics
NPI:1326503814
Name:STROUD, BELINDA (PSYD)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:STROUD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13604 SUN FOREST DR
Mailing Address - Street 2:
Mailing Address - City:PENN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95946-9123
Mailing Address - Country:US
Mailing Address - Phone:415-381-9600
Mailing Address - Fax:415-381-9611
Practice Address - Street 1:13604 SUN FOREST DR
Practice Address - Street 2:
Practice Address - City:PENN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95946-9123
Practice Address - Country:US
Practice Address - Phone:415-381-9600
Practice Address - Fax:415-381-9611
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-08
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY24593103TA0700X
CA24593103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging