Provider Demographics
NPI:1992378160
Name:BELLES, BRITNEY LORAN
Entity Type:Individual
Prefix:
First Name:BRITNEY
Middle Name:LORAN
Last Name:BELLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7877 HYMAN DR
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38133-2863
Mailing Address - Country:US
Mailing Address - Phone:901-517-9606
Mailing Address - Fax:
Practice Address - Street 1:6952 DOGWOOD MANOR NORTH
Practice Address - Street 2:SUITE 101
Practice Address - City:OLIVE BRANCH
Practice Address - State:MS
Practice Address - Zip Code:38654
Practice Address - Country:US
Practice Address - Phone:662-932-4625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-23
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist