| Doctor Name: | MRS. CHERI DANIELLE BLADES |
| NPI Number: | 1003808775 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC-SLP |
| License Number: | 102040 |
| Business Practice Address: | 50 N Medical Drive Som 1r73 Salt Lake City, UT - 841320001 |
| Business Phone Number: | 8015812885 |
| Business Fax Number: | |
| Mailing Address: | 50 N Medical Drive Som 1r73, SALT LAKE CITY |
| State: | UT |
| Postal Code: | 841320001 |
| Phone Number: | 8015812885 |
| Fax Number: | |
| NPI Enumeration Date: | 08/18/2005 |
| NPI Last Update Date: | 12/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 102040 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| 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 |