DR. Bonita Blazer, PH.D
NPI #1740494616 in Moorestown, New Jersey
Provider Information
- NPI Number
- 1740494616
- Entity Type
- Individual
- Name
- DR. Bonita Blazer, PH.D
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- PH.D
- Enumeration Date
- May 10, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 302 N WASHINGTON AVE
- Address 2
- STE 202 - EAST BUILDING
- City
- Moorestown
- State
- New Jersey
- ZIP Code
- 08057-2448
- Phone
- (856) 234-1270
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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