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Melissa Blake

Speech-Language Pathologist, in Hastings, NE. Individual provider (NPI-1).

NPI number1972052157
StatusActive
Last updated in NPPESSep 28, 2016

Details

NPI
1972052157
Entity type
Individual (NPI-1)
Name
Melissa Blake
Sex
Female
Sole proprietor
No
Enumeration date
Sep 28, 2016
Last updated
Sep 28, 2016

Taxonomy and licenses

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

Practice location

1924 W A St
Hastings, NE 68901-5650

Phone 402-461-7578

Mailing address

2324 W 11th St
Grand Island, NE 68803-3622

Phone 308-384-0317

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