Individual
REBECCA ANN BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
250 PARKS HIGHWAY, POB 444, HEALY, AK 99743-0444
(907) 683-4455
Mailing address
PO BOX 444, HEALY, AK 99743-0444
(907) 240-2062
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
144
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP6270
—
AK
05
—
SP62701
—
AK
Enumeration date
02/22/2007
Last updated
02/03/2009
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