Provider Demographics
NPI:1497914543
Name:FUSTE-HERRMANN, BELINDA (SPEECH THERAPIST)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:FUSTE-HERRMANN
Suffix:
Gender:F
Credentials:SPEECH THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4762 TATTON PARK CIR
Mailing Address - Street 2:UNIT 3C
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-5293
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4762 TATTON PARK CIR
Practice Address - Street 2:UNIT 3C
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-5293
Practice Address - Country:US
Practice Address - Phone:857-336-0139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-04
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7559235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist