Individual
MS. CYNTHA ANN BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
8924 N 104TH AVE, PEORIA, AZ 85345-7306
(623) 875-0419
(623) 388-3242
Mailing address
8924 N 104TH AVE, PEORIA, AZ 85345-7306
(623) 875-0419
(623) 388-3242
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP 1493
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
881046
—
AZ
Enumeration date
01/08/2007
Last updated
07/09/2007
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