Individual
MRS. BEVERLY G. BLUMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
420 COVE TOWER DR, #502, NAPLES, FL 34110-6031
(610) 405-6001
(239) 643-5908
Mailing address
420 COVE TOWER DR, #502, NAPLES, FL 34110-6031
(610) 405-6001
(239) 643-5908
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA12820
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013627300
—
FL
Enumeration date
11/26/2014
Last updated
11/26/2014
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