Individual
MR. MICHELE BLEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
19 CARDINAL LN, WESTPORT, CT 06880-1714
(917) 892-7053
Mailing address
19 CARDINAL LN, WESTPORT, CT 06880-1714
(917) 892-7053
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003448
CT
235Z00000X
Speech-Language Pathologist
010728
NY
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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