MEDICARE: ANNA KATE BLEHM M.A.,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	12009201	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417926080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA KATE BLEHM M.A.,CCC-SLP

Provider Business Mailing Address
First Line	:	2776 JANITELL RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-4103
Country	:	US
Telephone Number	:	719-332-4689
Fax Number	:	719-282-1449

Provider Business Practice Location Address
First Line	:	2776 JANITELL RD
Second Line	:
City	:	COLO SPGS
State	:	CO
Zip	:	80906-4103
Country	:	US
Telephone Number	:	719-332-4689
Fax Number	:

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

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	12/07/2023

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