Lisa Rae Blanton in Jefferson - Speech-language Pathologist
Lisa Rae Blanton - NPI 1548362056
Lisa Rae Blanton is a Speech-language Pathologist in Jefferson, Wisconsin. Lisa Rae Blanton practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Lisa Rae Blanton is 1548362056. The last update date is 2007-07-08.
Lisa Rae Blanton's current location address is N3995 Annex Rd, Jefferson, Wisconsin. You can contact this provider via phone number 9206747386 and fax number 9206746694. The mailing address for Lisa Rae Blanton is N3995 Annex Rd, Jefferson, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Rae Blanton |
|---|---|
| Address | N3995 Annex Rd, Jefferson, Wisconsin |
| Phone Number | 9206747386 |
| Fax Number | 9206746694 |
| Sole Proprietor | N |
| Credentials | MS/CCC-SLP |
NPI Number Detail
| NPI Number | 1548362056 |
|---|---|
| Provider Enumeration Date | 2006-09-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | N3995 Annex Rd |
|---|---|
| City | Jefferson |
| State | Wisconsin (WI) |
| Post Code | 535499618 |
| Phone Number | 9206747386 |
| Fax Number | 9206746694 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 1265-154 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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What is the unique 10-digit identification code issued to Lisa Rae Blanton by the Centers for Medicare & Medicaid Services?
The Lisa Rae Blanton has been assigned the NPI (National Provider Identifier) 1548362056 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Lisa Rae Blanton?
The Lisa Rae Blanton is physically situated at N3995 Annex Rd, in the city of Jefferson, state of WI, with the postal code 535499618.
What is Lisa Rae Blanton's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lisa Rae Blanton's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.
When did the Lisa Rae Blanton receive its 1548362056?
The Lisa Rae Blanton was issued its 1548362056 on 2006-09-04, which is the date when the organization was assigned this unique identifier.
As of what date were the Lisa Rae Blanton's details last updated?
The information pertaining to the Lisa Rae Blanton, including its address, specialty, and other details, was most recently updated on 2007-07-08.