Doctor Name: | MRS. NANETTE ANN BLANDFORD |
NPI Number: | 1154528347 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SPEECH THERAPIST |
License Number: | 2978 |
Business Practice Address: | 815 Triplett St Wendell Fosters Campus For Developmental Disabilities Owensboro, KY - 42303 |
Business Phone Number: | 2706834517 |
Business Fax Number: | 2708521491 |
Mailing Address: | Po Box 1668, 815 Triplett St OWENSBORO |
State: | KY |
Postal Code: | 423021668 |
Phone Number: | 2706834517 |
Fax Number: | 2708521491 |
NPI Enumeration Date: | 06/29/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2978 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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 |