Provider Demographics
NPI:1902982176
Name:BELEW, BARBARA LYNNE (PHD)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:LYNNE
Last Name:BELEW
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 EAST MASTER STREET
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701
Mailing Address - Country:US
Mailing Address - Phone:606-528-5335
Mailing Address - Fax:606-528-5669
Practice Address - Street 1:1200 EAST MASTER STREET
Practice Address - Street 2:SUITE 3
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701
Practice Address - Country:US
Practice Address - Phone:606-528-5335
Practice Address - Fax:606-528-5669
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY00831103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY8900068100Medicaid
C61030OtherCUMBERLAND HEALTHCARE
S81663Medicare UPIN
0767801Medicare ID - Type Unspecified