Provider Demographics
NPI:1053840181
Name:GARBER, BLAIRE L (AUD)
Entity Type:Individual
Prefix:
First Name:BLAIRE
Middle Name:L
Last Name:GARBER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:BLAIRE
Other - Middle Name:L
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8101 BIRCHWOOD CT STE S
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-2930
Mailing Address - Country:US
Mailing Address - Phone:515-471-9363
Mailing Address - Fax:515-471-9319
Practice Address - Street 1:1200 PLEASANT ST STE P-301A
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1406
Practice Address - Country:US
Practice Address - Phone:515-241-8265
Practice Address - Fax:515-241-3282
Is Sole Proprietor?:No
Enumeration Date:2017-06-12
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA087550231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist