Individual
JACQUELINE BELHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC
Contact information
Practice address
80 DODGE AVE, NORTH ATTLEBORO, MA 02760-4023
(508) 643-0964
Mailing address
80 DODGE AVE, NORTH ATTLEBORO, MA 02760-4023
(508) 643-0964
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3808
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP0196
PROVIDER NUMBER
MA
Enumeration date
01/22/2007
Last updated
07/08/2007
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