Doctor Name: | MRS. JEAN ELIZABETH BLOND |
NPI Number: | 1831594373 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | SLP003301 |
Business Practice Address: | 3225 Shallowford Rd Bldg 1100, Ste 1120 Marietta, GA - 300621266 |
Business Phone Number: | 4045470825 |
Business Fax Number: | 7707836618 |
Mailing Address: | 3225 Shallowford Rd, Bldg 1100, Ste 1120 MARIETTA |
State: | GA |
Postal Code: | 300621266 |
Phone Number: | 4045470825 |
Fax Number: | 7707836618 |
NPI Enumeration Date: | 10/27/2014 |
NPI Last Update Date: | 10/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP003301 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |