Provider Demographics
NPI:1780938076
Name:BLAIR, DANA A (MS, SLP-CF)
Entity type:Individual
Prefix:MS
First Name:DANA
Middle Name:A
Last Name:BLAIR
Suffix:
Gender:F
Credentials:MS, SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 CORAL WAY
Mailing Address - Street 2:APT 808
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33145-3243
Mailing Address - Country:US
Mailing Address - Phone:917-620-2855
Mailing Address - Fax:
Practice Address - Street 1:3000 CORAL WAY
Practice Address - Street 2:APT 808
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33145-3243
Practice Address - Country:US
Practice Address - Phone:917-620-2855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-08
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ6065235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist