Individual
MRS. HARRIET DEBRA BLADUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCC-SLP
Contact information
Practice address
13542 N FLORIDA AVE, SUITE 213F, TAMPA, FL 33613-3263
(813) 323-5748
(813) 319-5835
Mailing address
13542 N FLORIDA AVE, SUITE 213F, TAMPA, FL 33613-3263
(813) 323-5748
(813) 319-5835
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6065
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01041950
ASHA CERTIFICATION NATION
—
Enumeration date
05/15/2006
Last updated
07/08/2007
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