Provider Demographics
NPI:1558435552
Name:THURBER, BELINDA STARR (MA)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:STARR
Last Name:THURBER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2721 NALL ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:PORT NECHES
Mailing Address - State:TX
Mailing Address - Zip Code:77651-5222
Mailing Address - Country:US
Mailing Address - Phone:409-727-8979
Mailing Address - Fax:409-729-9747
Practice Address - Street 1:2721 NALL ST
Practice Address - Street 2:SUITE C
Practice Address - City:PORT NECHES
Practice Address - State:TX
Practice Address - Zip Code:77651-5222
Practice Address - Country:US
Practice Address - Phone:409-727-8979
Practice Address - Fax:409-729-9747
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11667101YP2500X
TX4388106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2280037OtherFIRST HEALTH PPO
TX3694LCOtherBCBSTX
TX9141951OtherPHCS PPO
TX243569OtherCOMPSYCH