Provider Demographics
NPI:1275675209
Name:BLESSING, CIARA MARGARET (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:CIARA
Middle Name:MARGARET
Last Name:BLESSING
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1844
Mailing Address - Country:US
Mailing Address - Phone:415-290-7508
Mailing Address - Fax:415-921-2243
Practice Address - Street 1:423 LOCUST ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1844
Practice Address - Country:US
Practice Address - Phone:415-290-7508
Practice Address - Fax:415-921-2243
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP-13420235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist