Blodgett, Carly

Blodgett, Carly is an individual health care provider with primary practice located at 3435 W Van Buren St , Chicago IL 60624-3312. 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. Blodgett, Carly can be contacted via phone (773) 826-6065.

Contact Information

Primary practice address
3435 W Van Buren St Chicago IL 60624-3312
Phone: (773) 826-6065
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146014488 Illinois

Profile Details

NPI number 1326674748
LBN Legal business name Blodgett, Carly
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2020
Last updated Mar 17th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326674748 NPPES
Other 146014488 ASHA LICENSE

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