NPI 1114209509 · live from the CMS NPI Registry
Amber Evelyn Blattner, M.A., CCC-SLP
Speech-Language Pathologist, in Saint Joseph, MO. National Provider Identifier 1114209509, active.
NPI record
| NPI | 1114209509 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 3007 S Belt Hwy, Saint Joseph, MO 64503 |
| Practice phone | 816-387-9800 |
| Mailing address | 15140 238th Rd, Cummings, KS 66016 |
| Enumerated | September 13, 2011 |
| Last updated | September 13, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 2011013597 (MO) |
| Speech-Language Pathologist, | 235Z00000X | 2888 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.