NPI 1528210549 · live from the CMS NPI Registry
Stacy Blake, MSCCC-SLP
Speech-Language Pathologist, in Wheeling, WV. National Provider Identifier 1528210549, active.
NPI record
| NPI | 1528210549 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 2000 Eoff St, Wheeling, WV 26003 |
| Practice phone | 740-633-4737 |
| Enumerated | October 22, 2008 |
| Last updated | October 22, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SLP0753 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.