| Doctor Name: | MRS. BEVERLY G. BLUMBERG |
| NPI Number: | 1629475132 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. CCC-SLP |
| License Number: | SA12820 |
| Business Practice Address: | 420 Cove Tower Dr #502 Naples, FL - 341106031 |
| Business Phone Number: | 6104056001 |
| Business Fax Number: | 2396435908 |
| Mailing Address: | 420 Cove Tower Dr, #502 NAPLES |
| State: | FL |
| Postal Code: | 341106031 |
| Phone Number: | 6104056001 |
| Fax Number: | 2396435908 |
| NPI Enumeration Date: | 11/26/2014 |
| NPI Last Update Date: | 11/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA12820 |
| 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 |