Beverly Demitra Blust
Beverly Demitra Blust is a Speech-Language Pathologist in Wheaton, Illinois. Licensed in Missouri. Registered with an NPI since 2017.
- Licensed in
- MO
- In the registry since
- 2017
Practice location Address checks out
1725 S Naperville Rd Ste 110Wheaton, IL 60189-5855
Phone: (815) 469-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 2017019682 (MO) |
|---|
Record details
| NPI number | 1003332768 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 15, 2017 |
| Last updated in NPPES | May 19, 2020 |
| Certification date | May 19, 2020 |
| Mailing address | 2340 Fairoyal Dr, Des Peres, MO 63131-1922 |
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