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DR. ERIC LAWRENCE BLICKER M.A.CCC-SLP.D BRS-S

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1801024617

Individual Registrant:
DR. ERIC LAWRENCE BLICKER M.A.CCC-SLP.D BRS-S
Gender: M
Sole Proprietor

Location and contact information for practice:
10645 NW 69TH PL  PARKLAND, FL 33076-2969 US
Tel: 954-775-0081  Fax: --

Contact information for business:
10645 NW 69TH PL  PARKLAND, FL 33076-2969 US
Tel: 954-775-0081  Fax: --

Registration Information:
NPI: 1801024617
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
FLSA6315

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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