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Amber Blaylock, M.A. CCC-SLP

Speech-Language Pathologist, in Columbus, OH. Individual provider (NPI-1).

NPI number1104698679
StatusActive
Last updated in NPPESOct 26, 2023

Details

NPI
1104698679
Entity type
Individual (NPI-1)
Name
Amber Blaylock
Credential
M.A. CCC-SLP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 26, 2023
Certification date
Oct 26, 2023
Last updated
Oct 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SP.15381OHYes

Practice location

3363 Tremont Rd
Columbus, OH 43221-2110

Phone 614-788-9287

Mailing address

5300 Riverside Dr
Columbus, OH 43220-2774

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