Most Relevant Information
Provider Data
| NPI Number: | 1003589342 |
| Provider Name: | DEVON BLITZ CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SLP.0004933 |
Most Important Dates
| Enumeration Date: | 07/30/2021 |
| Last Updated: | 07/21/2024 |
Provider Practice Location
181 W MEADOW DR
VAIL
CO
816575242
Practice Location Phone/Fax
| Phone: | 3109633004 |
| Fax: |
Provider Mailing Location
PO BOX 40000
VAIL
CO
816587520
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |