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Blake Self, CCC-SLP
Speech-Language Pathologist in Wonder Lake, Illinois
NPI 1164887592

Blake Self is a Speech-Language Pathologist based in Wonder Lake, IL. Blake Self practices in Wonder Lake, IL and has the professional credentials of CCC-SLP. The NPI Number for Blake Self is 1164887592 and holds a License No. 146012447 (Illinois).

The current practice location address for Blake Self is 5704 Wonder Woods Drive, Wonder Lake, IL and can be reached out via phone at 847-636-7603. You can also correspond with Blake Self through the mailing address at 5704 WONDER WOODS DRIVE, WONDER LAKE, IL - 60097 (mailing address contact number: 847-636-7603).

Location: 5704 Wonder Woods Drive, Wonder Lake, IL, 60097
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164887592
Provider Name
Blake Self
Credential
CCC-SLP
Provider Entity Type
Individual
Gender
Male
Address
5704 Wonder Woods Drive, Wonder Lake, IL, 60097
Phone Number
847-636-7603
Fax Number
Provider Enumeration Date
12/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5704 Wonder Woods Drive
City
Wonder Lake
State
Illinois
Zip
60097
Phone Number
847-636-7603
Fax Number
person
Provider Business Mailing Address Details
Address
5704 Wonder Woods Drive
City
Wonder Lake
State
Illinois
Zip
60097
Phone Number
847-636-7603
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
146012447 (Illinois)
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
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