Provider Demographics
NPI:1619285418
Name:BELCHER, JARROD (MA)
Entity Type:Individual
Prefix:
First Name:JARROD
Middle Name:
Last Name:BELCHER
Suffix:
Gender:M
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:RR 3 BOX 215C
Mailing Address - Street 2:
Mailing Address - City:DELBARTON
Mailing Address - State:WV
Mailing Address - Zip Code:25670-9718
Mailing Address - Country:US
Mailing Address - Phone:304-475-5201
Mailing Address - Fax:
Practice Address - Street 1:41 W 5TH AVE
Practice Address - Street 2:
Practice Address - City:WILLIAMSON
Practice Address - State:WV
Practice Address - Zip Code:25661-3201
Practice Address - Country:US
Practice Address - Phone:305-235-3390
Practice Address - Fax:304-235-3391
Is Sole Proprietor?:No
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist