Amy Denise Blackburn MCD, CFY-SLP

NPI 1447497516 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1447497516
Gender Female
Enumeration Date 01/12/2009
Last Updated 01/12/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1110 N WESTWOOD BLVD
POPLAR BLUFF MO, 63901-3336, US
Phone (573) 785-6707
Fax
Business Location
765 HIGHWAY F
HARVIELL MO, 63945-8127, US
Phone (573) 776-8203
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Missouri
License Number 2008037336
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According to our database, Mrs. Amy Denise Blackburn MCD, CFY-SLP NPI is 1447497516, taxonomy code is 235Z00000X and license number is 2008037336, license state is located at Missouri. Amy Denise Blackburn MCD, CFY-SLP physically located at 1110 N Westwood Blvd, Poplar Bluff MO, 63901-3336. NPI Number Amy Denise Blackburn MCD, CFY-SLP has the Individual type.

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1447497516 NPI number is provided on an as is basis without warranty of any kind. 1447497516 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Denise Blackburn MCD, CFY-SLP are for informational purposes only.