Provider Demographics
NPI:1508655812
Name:BELKOSKY, PAMELA STAR (CPRS)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:STAR
Last Name:BELKOSKY
Suffix:
Gender:
Credentials:CPRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2132 37TH ST NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44709-2306
Mailing Address - Country:US
Mailing Address - Phone:234-499-0176
Mailing Address - Fax:
Practice Address - Street 1:2132 37TH ST NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44709-2306
Practice Address - Country:US
Practice Address - Phone:234-499-0176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPS.006330175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist