Individual
BRENDA BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC, SLP
Contact information
Practice address
15004 INNOVATION DR, SAN DIEGO, CA 92128-3491
(858) 605-7189
Mailing address
10790 RANCHO BERNARDO RD # 4S-205, SAN DIEGO, CA 92127-5705
(858) 605-9866
(858) 605-1109
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14406
CA
Other
Enumeration date
01/30/2020
Last updated
11/19/2020
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