Provider Demographics
NPI:1205027158
Name:BLOUNT, DEAN A
Entity Type:Individual
Prefix:MR
First Name:DEAN
Middle Name:A
Last Name:BLOUNT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 SHUMAN BLVD
Mailing Address - Street 2:401
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8458
Mailing Address - Country:US
Mailing Address - Phone:630-303-5380
Mailing Address - Fax:978-313-6824
Practice Address - Street 1:205 CLAYDELLE AVE
Practice Address - Street 2:STE 105
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-4555
Practice Address - Country:US
Practice Address - Phone:619-441-0916
Practice Address - Fax:619-441-0968
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist