Stacy Blake, MSCCC-SLP
NPI #1528210549 in Wheeling, West Virginia
Provider Information
- NPI Number
- 1528210549
- Entity Type
- Individual
- Name
- Stacy Blake, MSCCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MSCCC-SLP
- Enumeration Date
- Oct 22, 2008
- Last Updated
- Oct 22, 2008
Practice Location
- Address
- 2000 EOFF ST
- City
- Wheeling
- State
- West Virginia
- ZIP Code
- 26003-3823
- Phone
- (740) 633-4737
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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