BROOKE BLAISDELL

NEW PORT RICHEY, FL
NPI1255091195
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SZ11580)
Additional Taxonomies222Q00000X Developmental Therapist
2355S0801X Specialist/Technologist, Speech-Language Assistant
Enumeration Date2021-12-20
Last Update Date2023-09-08
Business Address
BROOKE BLAISDELL
5647 GULF DR
NEW PORT RICHEY, FL 34652-4019
Phone number: 813-435-3355
Mailing Address
BROOKE BLAISDELL
2202 N LOIS AVE APT 1327
TAMPA, FL 33607-2559
Phone number: 727-452-2728