Provider Demographics
NPI:1295802163
Name:MONTZ, BELINDA FLEMING (SLP)
Entity type:Individual
Prefix:MRS
First Name:BELINDA
Middle Name:FLEMING
Last Name:MONTZ
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MS
Other - First Name:BELINDA
Other - Middle Name:
Other - Last Name:FLEMING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3111 VAQUERO PASS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-2830
Mailing Address - Country:US
Mailing Address - Phone:512-736-5148
Mailing Address - Fax:210-981-1191
Practice Address - Street 1:6025B FOUNTAINWOOD ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78233-4417
Practice Address - Country:US
Practice Address - Phone:210-802-6612
Practice Address - Fax:210-981-1191
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102936235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX050551331OtherTAX ID