Provider Demographics
NPI:1528275435
Name:BLASING, CAROLYN (MS SLP-CCC)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:BLASING
Suffix:
Gender:F
Credentials:MS SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7324 SW CANNOCK CHASE RD
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-1534
Mailing Address - Country:US
Mailing Address - Phone:785-478-0592
Mailing Address - Fax:785-339-4625
Practice Address - Street 1:7324 SW CANNOCK CHASE RD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-1534
Practice Address - Country:US
Practice Address - Phone:785-478-0592
Practice Address - Fax:785-339-4625
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS88235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist