Individual
MRS. CHERI DANIELLE BLADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
50 N MEDICAL DRIVE SOM 1R73, SALT LAKE CITY, UT 84132-0001
(801) 581-2885
Mailing address
50 N MEDICAL DRIVE SOM 1R73, SALT LAKE CITY, UT 84132-0001
(801) 581-2885
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
102040
TX
235Z00000X
Speech-Language Pathologist
Primary
7338662-4102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87461T
SPEECH PATHOLOGIST
TX
Enumeration date
08/18/2005
Last updated
12/06/2021
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