MEDICARE: KATY BLESSUM 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
1	235Z00000X	Speech-Language Pathologist	SLP4132	AZ

General Provider Information

NPI Number	:	1932226800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATY BLESSUM CCC-SLP

Provider Business Mailing Address
First Line	:	9411 E PLATA AVE
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85212-1465
Country	:	US
Telephone Number	:	480-326-6020
Fax Number	:

Provider Business Practice Location Address
First Line	:	3120 N RED MTN
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85207-1068
Country	:	US
Telephone Number	:	480-472-8750
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	05/27/2025

Similar Medicare Providers

1669514329 — DR. ELIZABETH DANIELSON PH.D.
Practice Location Address:

3120 N RED MOUNTAIN
MESA, AZ
85207-1068

Practice Phone: 480-472-8736
Practice Fax:

1568394476 — KAZHRA ANGELIQUE MAYAN KELCHO
Practice Location Address:

308 N 76TH PL
MESA, AZ
85207-7514

Practice Phone: 623-241-3886
Practice Fax:

1699771659 — CYNTHIA ANN PETERS CRNFA, FNP-C
Practice Location Address:

7165 E UNIVERSITY DR STE 183
MESA, AZ
85207-6415

Practice Phone: 480-668-5000
Practice Fax: 480-668-5065

1033116397 — MS. LAURIE L SHEPARD PT, OCS
Practice Location Address:

6836 E BROWN RD , STE 102
MESA, AZ
85207-3756

Practice Phone: 480-924-5514
Practice Fax: 480-924-5518

1871590661 — KARYN F. ROBERTSON PA
Practice Location Address:

7165 E UNIVERSITY DR STE 183
MESA, AZ
85207-6415

Practice Phone: 480-668-5000
Practice Fax: 480-668-5065

1962494807 — JUSTIN THOMAS SAWYER MD
Practice Location Address:

6832 E BROWN RD
MESA, AZ
85207-3755

Practice Phone: 480-830-8333
Practice Fax: 480-830-8390

Directions to “ KATY BLESSUM CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.