William Blake Godfrey SLP

NPI 1053436386 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1053436386
Gender Male
Enumeration Date 03/19/2007
Last Updated 01/09/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
1957 LARKSPUR RANCH CT
HENDERSON NV, 89012-3438, US
Phone (702) 561-8209
Fax
Business Location
1957 LARKSPUR RANCH CT
HENDERSON NV, 89012-3438, US
Phone (702) 561-8209
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Nevada
License Number SP-564
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According to our database, William Blake Godfrey SLP NPI is 1053436386, taxonomy code is 235Z00000X and license number is SP-564, license state is located at Nevada. William Blake Godfrey SLP physically located at 1957 Larkspur Ranch Ct, Henderson NV, 89012-3438. NPI Number William Blake Godfrey SLP has the Individual type.

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1053436386 NPI number is provided on an as is basis without warranty of any kind. 1053436386 is maintained by the National Plan & Provider Enumeration System. The contents of William Blake Godfrey SLP are for informational purposes only.