| NPI | 1619050747 |
|---|---|
| Professional Name | BLAISE DENNIS MAXWELL SCOLLARD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OR 10394) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2013-05-01 |