Provider Demographics
NPI:1114206984
Name:GEER BLANCHETTE, VICKI
Entity Type:Individual
Prefix:
First Name:VICKI
Middle Name:
Last Name:GEER BLANCHETTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6720 S ASHLEY CT
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-4600
Mailing Address - Country:US
Mailing Address - Phone:480-802-2882
Mailing Address - Fax:
Practice Address - Street 1:6720 S ASHLEY CT
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85249-4600
Practice Address - Country:US
Practice Address - Phone:480-802-2882
Practice Address - Fax:480-802-2882
Is Sole Proprietor?:No
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA68022355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant