Individual
MRS. ANNETTE HARRIS BLUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
7540 N 19TH AVE, SUITE 200, PHOENIX, AZ 85021-7967
(888) 873-4221
Mailing address
15668 W MONTEREY WAY, GOODYEAR, AZ 85395-8162
(623) 935-4194
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL001009L
PA
235Z00000X
Speech-Language Pathologist
SLP5388
AZ
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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