Provider Demographics
NPI:1467436741
Name:BELCHER, JANE MARIE (MS,CCC/A)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:MARIE
Last Name:BELCHER
Suffix:
Gender:F
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 1:100 HOSPITAL LN STE 220
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46122-1845
Mailing Address - Country:US
Mailing Address - Phone:317-718-6236
Mailing Address - Fax:317-745-3749
Practice Address - Street 1:100 HOSPITAL LN STE 220
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IN
Practice Address - Zip Code:46122-1845
Practice Address - Country:US
Practice Address - Phone:317-718-6236
Practice Address - Fax:317-745-3749
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23001811A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1467436741Medicaid