Provider Demographics
NPI:1891991915
Name:ICENHOWER, BELINDA KAY (ND)
Entity Type:Individual
Prefix:DR
First Name:BELINDA
Middle Name:KAY
Last Name:ICENHOWER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 FOUNTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4425
Mailing Address - Country:US
Mailing Address - Phone:831-643-0430
Mailing Address - Fax:831-648-8050
Practice Address - Street 1:704 FOREST AVE
Practice Address - Street 2:
Practice Address - City:PACIFIC GROVE
Practice Address - State:CA
Practice Address - Zip Code:93950-4282
Practice Address - Country:US
Practice Address - Phone:831-648-8048
Practice Address - Fax:831-648-8050
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND163175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath