Sharon M Blake, CCC-SLP
NPI #1164933594 in Bloomsburg, Pennsylvania
Provider Information
- NPI Number
- 1164933594
- Entity Type
- Individual
- Name
- Sharon M Blake, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- Oct 12, 2017
- Last Updated
- Oct 12, 2017
Practice Location
- Address
- 400 E 2ND ST
- City
- Bloomsburg
- State
- Pennsylvania
- ZIP Code
- 17815-1301
- Phone
- (570) 389-5380
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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