Provider Demographics
NPI:1831964097
Name:BELT, TERRY LYNN (BEHAVIOR HEALTH TECH)
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:LYNN
Last Name:BELT
Suffix:
Gender:F
Credentials:BEHAVIOR HEALTH TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 INDUSTRIAL PARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:MAXWELTON
Mailing Address - State:WV
Mailing Address - Zip Code:24957
Mailing Address - Country:US
Mailing Address - Phone:304-497-2850
Mailing Address - Fax:
Practice Address - Street 1:414 INDUSTRIAL DRIVE
Practice Address - Street 2:
Practice Address - City:MAXWELTON
Practice Address - State:WV
Practice Address - Zip Code:24957
Practice Address - Country:US
Practice Address - Phone:304-497-2580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician