Jason Blair
Speech-Language Pathologist, in Phoenix, AZ. Individual provider (NPI-1).
NPI number1679754261
StatusActive
Last updated in NPPESNov 24, 2007
Details
- NPI
- 1679754261
- Entity type
- Individual (NPI-1)
- Name
- Jason Blair
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 24, 2007
- Last updated
- Nov 24, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SLPL5724 | AZ | Yes |
Practice location
20402 N 15th AvePhoenix, AZ 85027-3636
Phone 623-445-4952
Mailing address
3121 W Bajada DrPhoenix, AZ 85083-5822
Phone 623-505-6388
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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