Individual provider · Type 1 NPI

Mry Madison Blazzard, SLP ASSISTANT

Speech-Language Assistant · San Antonio, TX

NPI number 1639897333 Active

Practice location

13333 Blanco Rd Ste 310
San Antonio, TX 78216-7756

Mailing address

8727 Huebner Rd Apt 912
San Antonio, TX 78240-1830

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801X42557 (TX)

Speech-Language Assistant: Definition to come...

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About NPI 1639897333

Mry Madison Blazzard, SLP ASSISTANT's National Provider Identifier is 1639897333, issued on Aug 18, 2022. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in San Antonio, TX. The record was last updated on Aug 18, 2022.