Provider Demographics
NPI:1972805430
Name:AMATEKPOR, BELINDA M (MA)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:M
Last Name:AMATEKPOR
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 1:824 MIDDLESEX ST # 2
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-2149
Mailing Address - Country:US
Mailing Address - Phone:848-992-0807
Mailing Address - Fax:
Practice Address - Street 1:40 NORTH AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-2402
Practice Address - Country:US
Practice Address - Phone:908-352-7474
Practice Address - Fax:908-965-3227
Is Sole Proprietor?:No
Enumeration Date:2010-12-03
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00406200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional