Active NPIIndividual providerSole proprietor

Kandace Blake, MA, CCC-SLP

Speech-Language Pathologist, in New Bedford, Massachusetts

NPI Number1013372127
Practice location
863 Hathaway RD, New Bedford, MA 02740-1916
Fax
—
Last updated
December 17, 2015

Kandace Blake is a Speech-Language Pathologist, based in New Bedford, MA. Kandace Blake practices in New Bedford, MA and has the professional credentials of MA, CCC-SLP. The NPI Number for Kandace Blake is 1013372127 and holds a License No. SP-9750-SL (MA). The current practice location address for Kandace Blake is 863 Hathaway RD, New Bedford, MA 02740-1916 and can be reached out via phone at 803-261-9039.

Provider Profile Details

NPI Number
1013372127
Provider Name
Kandace Blake
Credential
MA, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
863 Hathaway RD, New Bedford, MA 02740-1916
Phone Number
803-261-9039
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 17, 2015
Last Update Date
December 17, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
863 Hathaway RD
New Bedford, MA 02740-1916
Zip
02740-1916
Phone Number
803-261-9039
New Bedford, MA 02740Get directions →

Provider Business Mailing Address Details

Address
1755 Wittington Pl
Ste. #175
Dallas, TX 75234-1927
City
Dallas
State
TX
Zip
75234-1927

License Information

License Number
SP-9750-SL
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kandace Blake, MA, CCC-SLP?

The NPI number of Kandace Blake, MA, CCC-SLP is 1013372127. It was assigned on December 17, 2015 and is currently active in the NPPES registry.

What is the specialty of Kandace Blake, MA, CCC-SLP?

Kandace Blake, MA, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number SP-9750-SL.

Where does Kandace Blake, MA, CCC-SLP practice?

The practice location is 863 Hathaway RD, New Bedford, MA 02740-1916. The office can be reached at 803-261-9039 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013372127 directly on the NPPES registry website.

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