Provider Demographics
NPI:1538195052
Name:BELL-BUCK, TONITA ROCHELLE (MSW)
Entity type:Individual
Prefix:MRS
First Name:TONITA
Middle Name:ROCHELLE
Last Name:BELL-BUCK
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 78 BOX 1676
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:USA
Mailing Address - Zip Code:AP
Mailing Address - Country:JP
Mailing Address - Phone:315
Mailing Address - Fax:3648
Practice Address - Street 1:PSC 78 BOX 1676
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96326
Practice Address - Country:US
Practice Address - Phone:315
Practice Address - Fax:3648
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-25
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1400-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical