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NPI Code Detail

MEDICARE: MRS. ERIN TERESA BLANDFORD M.S.

MEDICARE:  MRS. ERIN TERESA BLANDFORD  M.S.
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 PathologistSLP6089AZ

General Provider Information

NPI Number : 1689828295
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ERIN TERESA BLANDFORD M.S.
Provider Business Mailing Address
First Line : 8505 E VALLEY VIEW RD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85250-6768
Country : US
Telephone Number : 480-484-5077
Fax Number :
Provider Business Practice Location Address
First Line : 7501 E VIRGINIA AVE
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85257-1522
Country : US
Telephone Number : 480-484-6876
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2008
Last Update Date : 12/03/2013

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Directions to “ MRS. ERIN TERESA BLANDFORD M.S.” Practice Location

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