NPI 1124180898 · live from the CMS NPI Registry
Julie E Blake, M.A. CCC-SLP
Speech-Language Pathologist, in Hurricane, WV. National Provider Identifier 1124180898, active.
NPI record
| NPI | 1124180898 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 179 Station Place Way, Hurricane, WV 25526 |
| Practice phone | 304-760-6300 |
| Mailing address | Po Box 450, Scott Depot, WV 25560 |
| Enumerated | December 15, 2006 |
| Last updated | July 15, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SLP-759 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.