Provider Demographics
NPI:1275843898
Name:BLOHM, EMILY CHRISTINE (MS CF SLP)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:CHRISTINE
Last Name:BLOHM
Suffix:
Gender:F
Credentials:MS CF SLP
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Mailing Address - Street 1:191 IRELAND
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-4163
Mailing Address - Country:US
Mailing Address - Phone:479-419-9911
Mailing Address - Fax:479-419-5595
Practice Address - Street 1:986 ELMWOOD ST
Practice Address - Street 2:SUITE C, ELMWOOD PLAZA
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-2720
Practice Address - Country:US
Practice Address - Phone:479-419-9911
Practice Address - Fax:479-419-5595
Is Sole Proprietor?:No
Enumeration Date:2010-10-16
Last Update Date:2010-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARSP#P8354235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist