Individual
BLAKE VONDERHAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6475 LESOURDSVILLE WEST CHESTER RD, LIBERTY TWP, OH 45011-8455
(513) 644-1150
Mailing address
5875 E SENOUR DR, WEST CHESTER, OH 45069-1396
(513) 907-4290
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
COND.20211810-SP
OH
235Z00000X
Speech-Language Pathologist
Primary
SP.14887
OH
Other
Enumeration date
04/20/2022
Last updated
08/14/2023
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