Tara Elise Blake, M.A. Valid NPI

Individual provider · Speech-Language Pathologist · Brentwood, CA

NPI

1548599111

Type

Individual (Type 1)

Primary specialty

Speech-Language Pathologist

Specialty group

Speech, Language and Hearing Service Providers

Taxonomy code

235Z00000X

License number

17555 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2009-12-10

Last updated

2022-01-03