Claudine Rene Blackburn, is a
Speech-language Pathologist based in Alva, Florida. Claudine Rene Blackburn is licensed to practice in Florida (license number SA12335) and her current practice location is
2770 Styles Rd, Alva, Florida. She can be reached at her office (for appointments etc.) via phone at
(239) 292-8142.
NPI number for Claudine Rene Blackburn is 1134569122 and her current mailing address is 2770 Styles Rd, Alva, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134569122.
Healthcare Provider's Profile
| Full Name | Claudine Rene Blackburn |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
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| Location | 2770 Styles Rd, Alva, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134569122
- Provider Enumeration Date: 07/05/2013
- Last Update Date: 08/13/2013
Medical Identifiers
Medical identifiers for Claudine Rene Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134569122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | SA12335 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Claudine Rene Blackburn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Claudine Rene Blackburn,
2770 Styles Rd,
Alva, FL 33920-4017
Ph: () - | Claudine Rene Blackburn,
2770 Styles Rd,
Alva, FL 33920-4017
Ph: (239) 292-8142 |
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