Blackburn, Amy Denise
Blackburn, Amy Denise is an individual health care provider with primary practice located at 1110 N Westwood Blvd , Poplar Bluff MO 63901-3336. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Blackburn, Amy Denise can be contacted via phone (573) 785-6707.Contact Information
Primary practice address
1110 N Westwood Blvd
Poplar Bluff MO 63901-3336
Phone: (573) 785-6707
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2008037336 | Missouri |
Profile Details
| NPI number | 1447497516 |
|---|---|
| LBN Legal business name | Blackburn, Amy Denise |
| Credentials | MCD, CFY-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2009 |
| Last updated | Jan 12th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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