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Contact Information

CONNIE F BLACKFORD, MA, CCC-SP
607 HILLCREST DR
NEWBURGH, IN47630-1356
 Phone: 812-453-4649
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for CONNIE F BLACKFORD · (Female)

NPI Number 1164987129
Status Active
Credentials MA, CCC-SP
Entity Individual
Enumeration date 02/04/2019
Last updated 02/04/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 22001775A
  • Other 00117481 ASHA - CCC-SLP
  • IN Other 22001775A IPLA - SPEECH PATHOLOGIST LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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