Individual
MS. SUE ELLEN BLAKEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.N.S. , CCC
Contact information
Practice address
4650 W. SWEETWATER, GLENDALE, AZ 85304
(602) 347-2600
Mailing address
14052 N 14TH PL, PHOENIX, AZ 85022-4433
(602) 441-3240
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0321
AZ
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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