Provider Demographics
NPI:1528336161
Name:MCCURRY, BELINDA D (AUD)
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:D
Last Name:MCCURRY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:BELINDA
Other - Middle Name:D
Other - Last Name:PEPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1068 LAKE ST S STE 108
Mailing Address - Street 2:
Mailing Address - City:FOREST LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55025-2633
Mailing Address - Country:US
Mailing Address - Phone:651-464-8486
Mailing Address - Fax:
Practice Address - Street 1:1068 LAKE ST S STE 108
Practice Address - Street 2:
Practice Address - City:FOREST LAKE
Practice Address - State:MN
Practice Address - Zip Code:55025-2633
Practice Address - Country:US
Practice Address - Phone:651-464-8486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-10
Last Update Date:2011-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8654231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter