Provider Demographics
NPI:1881818383
Name:BLAND, CHERYL R (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:R
Last Name:BLAND
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6336 S BENTON WAY
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-6810
Mailing Address - Country:US
Mailing Address - Phone:303-797-6276
Mailing Address - Fax:303-797-0407
Practice Address - Street 1:5125 S KIPLING ST
Practice Address - Street 2:SUITE 205
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-1768
Practice Address - Country:US
Practice Address - Phone:303-971-0411
Practice Address - Fax:303-797-0407
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist