Christopher Blake in Eagan - Speech-language Pathologist

Christopher Blake - NPI 1831238591

Christopher Blake is a Speech-language Pathologist in Eagan, Minnesota. Christopher Blake practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Christopher Blake is 1831238591. The last update date is 2015-11-30.

Christopher Blake's current location address is 4058 Deerwood Trl, Eagan, Minnesota. You can contact this provider via phone number 6519949644 and fax number 6519948962. The mailing address for Christopher Blake is 4058 Deerwood Trl, Eagan, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Christopher Blake
Address 4058 Deerwood Trl, Eagan, Minnesota
Phone Number 6519949644
Fax Number 6519948962
Sole Proprietor N
Credentials MACCCSLP

NPI Number Detail

NPI Number 1831238591
Provider Enumeration Date 2007-02-06
Last Updated Date 2015-11-30

Provider Mailing Address Detail

Address 4058 Deerwood Trl
City Eagan
State Minnesota (MN)
Post Code 551221889
Phone Number 6519949644
Fax Number 6519948962

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 6349
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. Spe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
962S9BL MN BCBS
HP32576 MN HEALTH PARTNERS
4600244 MN MEDICA
442612600 MN --

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FAQs about Christopher Blake

What is the unique identification code assigned to Christopher Blake by the Centers for Medicare & Medicaid Services?

The Christopher Blake has been issued the NPI (National Provider Identifier) 1831238591. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Christopher Blake?

The Christopher Blake is situated at 4058 Deerwood Trl, in the city of Eagan, state of MN, with the zip code 551221889.

What is Christopher Blake's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Christopher Blake is Speech-language Pathologist, and the taxonomy classification code that categorizes this area of expertise is 235Z00000X.

On what date did Christopher Blake receive its 1831238591 assignment from the Centers for Medicare & Medicaid Services?

The Christopher Blake was assigned its 1831238591 on 2007-02-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Christopher Blake most recently updated or revised?

The information pertaining to Christopher Blake, including its address, specialty, and other relevant details, was last updated or revised on 2015-11-30.

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