Provider Demographics
NPI:1407212798
Name:STROUSE, BELINDA (M ED)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:STROUSE
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1448 SUNNYSIDE RD
Mailing Address - Street 2:
Mailing Address - City:SPRING GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:17362-8425
Mailing Address - Country:US
Mailing Address - Phone:717-781-4390
Mailing Address - Fax:
Practice Address - Street 1:1448 SUNNYSIDE RD
Practice Address - Street 2:
Practice Address - City:SPRING GROVE
Practice Address - State:PA
Practice Address - Zip Code:17362-8425
Practice Address - Country:US
Practice Address - Phone:717-781-4390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-03
Last Update Date:2016-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH002950104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker