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NPI Code Detail

MEDICARE: MRS. STEPHANIE KAY BLUME MS, CCC-SLP

MEDICARE: MRS. STEPHANIE KAY BLUME MS, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist8636MN

General Provider Information

NPI Number : 1447500079
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STEPHANIE KAY BLUME MS, CCC-SLP
Provider Business Mailing Address
First Line : 150 SAINT ANDREWS CT
Second Line : SUITE 310
City : MANKATO
State : MN
Zip : 56001-8659
Country : US
Telephone Number : 507-388-5437
Fax Number :
Provider Business Practice Location Address
First Line : 150 SAINT ANDREWS CT
Second Line : SUITE 310
City : MANKATO
State : MN
Zip : 56001-8659
Country : US
Telephone Number : 507-388-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2012
Last Update Date : 11/05/2019

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Directions to “ MRS. STEPHANIE KAY BLUME MS, CCC-SLP” Practice Location

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