Provider Demographics
NPI:1962258632
Name:COLBERT, BELINDA K (LIVED EXPERIENCE)
Entity type:Individual
Prefix:MRS
First Name:BELINDA
Middle Name:K
Last Name:COLBERT
Suffix:
Gender:F
Credentials:LIVED EXPERIENCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 PALO VERDE AVE STE 251
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-3322
Mailing Address - Country:US
Mailing Address - Phone:562-270-4833
Mailing Address - Fax:
Practice Address - Street 1:1144 OLIVE AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813-3598
Practice Address - Country:US
Practice Address - Phone:562-437-9128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker