Angela Blackshear SLP

NPI 1194866129 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1194866129
Gender Female
Enumeration Date 02/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
150 LONG RD STE 150
CHESTERFIELD MO, 63005-1237, US
Phone (636) 733-3330
Fax (636) 733-3332
Business Location
150 LONG RD STE 150
CHESTERFIELD MO, 63005-1237, US
Phone (636) 733-3330
Fax (636) 733-3332
Toxanomy
Taxonomy Code 235Z00000X
License State Missouri
License Number 01057
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According to our database, Angela Blackshear SLP NPI is 1194866129, taxonomy code is 235Z00000X and license number is 01057, license state is located at Missouri. Angela Blackshear SLP physically located at 150 Long Rd Ste 150, Chesterfield MO, 63005-1237. NPI Number Angela Blackshear SLP has the Individual type.

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1194866129 NPI number is provided on an as is basis without warranty of any kind. 1194866129 is maintained by the National Plan & Provider Enumeration System. The contents of Angela Blackshear SLP are for informational purposes only.