Individual provider · NPI-1

Blake Alley

Speech-Language Pathologist, · Fort Collins, CO

NPI number1801688874
StatusActive
Last updated in NPPESMay 19, 2025

Details

NPI
1801688874
Entity type
Individual (NPI-1)
Name
Blake Alley
Sex
Female
Sole proprietor
No
Enumeration date
May 19, 2025
Certification date
May 18, 2025
Last updated
May 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

1330 Oakridge Dr Unit 105
Fort Collins, CO 80525-9651

Phone 337-532-5264

Mailing address

1105 10th St
Lake Charles, LA 70601-6348

Phone 337-532-5264

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