Beth Blondheim, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP. 4705 Issued in OH

Practice address

3060 Devan Vale Dr
Cuyahoga Falls, OH 44223-3095

Phone

(330) 388-7050

Fax

(330) 319-7722

NPI assigned

Feb 17, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1417348103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 DEVAN VALE DR",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442233095",
            "telephone_number": "330-388-7050",
            "fax_number": "330-319-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 DEVAN VALE DR",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442233095",
            "telephone_number": "330-388-7050",
            "fax_number": "330-319-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLONDHEIM",
        "first_name": "BETH",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP. 4705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.