MRS. Shelley Forgas Blanco, M.S., CCC/SLP

NPI #1790114429 in Lutz, Florida

Provider Information

NPI Number
1790114429
Entity Type
Individual
Name
MRS. Shelley Forgas Blanco, M.S., CCC/SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
M.S., CCC/SLP
Enumeration Date
Nov 4, 2013
Last Updated
Jan 18, 2018

Practice Location

Address
19106 FISHERMANS BEND DR
City
Lutz
State
Florida
ZIP Code
33558-9747
Phone
(813) 401-0863

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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