Individual
MRS. ALLISA DENISE BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
8115 E INDIAN BEND RD, SCOTTSDALE, AZ 85250-4819
(480) 951-6451
(480) 951-6464
Mailing address
247 N HORNE, MESA, AZ 85203-7930
(801) 712-9474
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP8149
AZ
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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