Most Relevant Information
Provider Data
| NPI Number: | 1003808775 |
| Provider Name: | CHERI DANIELLE BLADES M.S., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 102040 |
Most Important Dates
| Enumeration Date: | 08/18/2005 |
| Last Updated: | 12/06/2021 |
Provider Practice Location
50 N MEDICAL DRIVE SOM 1R73
SALT LAKE CITY
UT
841320001
Practice Location Phone/Fax
| Phone: | 8015812885 |
| Fax: |
Provider Mailing Location
50 N MEDICAL DRIVE SOM 1R73
SALT LAKE CITY
UT
841320001
Provider Mailing Phone/Fax
| Phone: | 8015812885 |
| Fax: |