Beverly Demitra Blust

Speech-Language Pathologist · Wheaton, IL

Individual Active NPI

NPI number 1003332768

Practice location

1725 S Naperville Rd Ste 110
Wheaton, IL 60189-5855
Phone
(815) 469-1500

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NPI record

NPI
1003332768
Entity type
Individual (Type 1)
Enumeration date
August 15, 2017
Last updated
May 19, 2020
Certified
May 19, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 2017019682 MO

Mailing address

2340 Fairoyal Dr
Des Peres, MO 63131-1922

About Beverly Blust

Beverly Demitra Blust is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 1725 S Naperville Rd Ste 110, Wheaton, IL 60189-5855. The NPI number 1003332768 was assigned on August 15, 2017 and the record was last updated on May 19, 2020.

Beverly Blust lists a license in the registry: #2017019682 (MO) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Beverly Demitra Blust?

The NPI number is 1003332768.

What is the phone number of Beverly Blust?

The phone number listed for the practice location is (815) 469-1500.

Where is Beverly Blust located?

1725 S Naperville Rd Ste 110, Wheaton, IL 60189-5855.

What is the taxonomy code for Beverly Blust?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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