NPI 1497301428 · live from the CMS NPI Registry
Beth Blake, CCC-SLP
Speech-Language Pathologist, in Moundsville, WV. National Provider Identifier 1497301428, active.
NPI record
| NPI | 1497301428 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 205 Blaney Ave, Moundsville, WV 26041 |
| Practice phone | 304-281-8099 |
| Enumerated | August 15, 2019 |
| Last updated | August 15, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SLP-0683 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.