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Organization

MICHAEL BELCHER, PHD, MBA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRAD BELCHER (CEO)
(740) 360-4684
Entity
Organization

Contact information

Practice address
170 FAIRFAX RD, MARION, OH 43302-6486
(740) 375-5585
Mailing address
780 LEETONIA RD, MARION, OH 43302-5242
(740) 262-5407

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
OH
103TC0700X
Clinical Psychologist
Primary
OH
103TC0700X
Clinical Psychologist
2251S0007X
Sports Physical Therapist
OH

Other

Enumeration date
11/10/2015
Last updated
06/22/2018
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