Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA NICOLE BLAKE, M.S., CCC-SLP
ActiveJESSICA NICOLE BLAKE, M.S., CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in BRISTOL, Indiana. NPI 1699940221 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · BRISTOL, IN
Registration Details
- NPI Number
- 1699940221
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2008 (18.118290576526 yrs)
- Last Updated
- Apr 24, 2008
- License
-
22004183A (IN)
Practice Information
- Address
-
19670 STATE ROAD 120BRISTOL, IN, 465079131Browse IN providers · Browse ZIP 46507
- Phone
- 5742946197
- Fax
- 5742969158
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.