MS. SUE ELLEN BLAKEMORE M.N.S. CCC NPI 1245454958

NPI Information

  • NPI: 1245454958
  • Provider Name: MS. SUE ELLEN BLAKEMORE, M.N.S. , CCC
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Individual
  • Address: 4650 W. SWEETWATER
    GLENDALE, AZ
    ZIP 85304
  • Phone: (602) 347-2600

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NPI Details

MS. Sue Ellen Blakemore, M.N.S. , CCC is a speech language pathologist in Glendale, AZ. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. MS. Sue Ellen Blakemore, M.N.S. , CCC NPI is 1245454958. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4650 W. SWEETWATER
GLENDALE, AZ
ZIP 85304
Phone: (602) 347-2600

The enumeration date for this NPI number is 4/12/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistSLP0321ARIZONAYes

What is NPI?

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This page was last updated on: 11/21/2025

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