Basic Information
| Provider Information | |||||||||
| NPI: | 1528138302 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHAFFINS | ||||||||
| FirstName: | BELINDA | ||||||||
| MiddleName: | JEAN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PSY.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 539 N 3RD ST | ||||||||
| Address2: | |||||||||
| City: | TIPP CITY | ||||||||
| State: | OH | ||||||||
| PostalCode: | 453711947 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9372418423 | ||||||||
| FaxNumber: | 9375481500 | ||||||||
| Practice Location | |||||||||
| Address1: | 212 E MAIN ST | ||||||||
| Address2: | |||||||||
| City: | GREENVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 453311913 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9375481635 | ||||||||
| FaxNumber: | 9375481500 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/08/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 6087 | OH | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.