Doctor Name: | HEATHER K BLEDSOE |
NPI Number: | 1265738264 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | |
Business Practice Address: | 101 N Uncompahgre Ave Montrose, CO - 814013767 |
Business Phone Number: | 9709017861 |
Business Fax Number: | 8667932739 |
Mailing Address: | 236 Quarter Horse Ln, RIDGWAY |
State: | CO |
Postal Code: | 814329004 |
Phone Number: | 9709017861 |
Fax Number: | 8667932739 |
NPI Enumeration Date: | 02/08/2011 |
NPI Last Update Date: | 02/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
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 |