Doctor Name: | MRS. PERSEPHONE BLAIR-KNIGHT |
NPI Number: | 1003124090 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M ED. CCC-SLP |
License Number: | SA 11422 |
Business Practice Address: | 9280 Hammocks Blvd Suite # 103 Miami, FL - 331961507 |
Business Phone Number: | 3053852929 |
Business Fax Number: | |
Mailing Address: | 10405 Sw 153rd Ct Apt 6, MIAMI |
State: | FL |
Postal Code: | 331962721 |
Phone Number: | 3053833710 |
Fax Number: | |
NPI Enumeration Date: | 09/23/2010 |
NPI Last Update Date: | 03/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 11422 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |