Kristin Rachel Blake, MS CCC-SLP Valid NPI

Individual provider · Speech-Language Pathologist · Fpo, AP

NPI

1336129121

Type

Individual (Type 1)

Primary specialty

Speech-Language Pathologist

Specialty group

Speech, Language and Hearing Service Providers

Taxonomy code

235Z00000X

License number

19550 (TX)

Sex

Female

Sole proprietor

No

Enumerated

2006-01-19

Last updated

2022-07-21