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Contact Information

ADARA BLAKE, MS, CCC-SLP, IBCLC
1337 HOWE AVE
#107
SACRAMENTO, CA95825
 Phone: 916-564-5010
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for ADARA BLAKE · (Female)

NPI Number 1285015271
Status Active
Credentials MS, CCC-SLP, IBCLC
Entity Individual
Enumeration date 06/15/2015
Last updated 04/20/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CA License # SP 25339
  • PA License # SL012400
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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