Eva Mae Blakely, MS/CCC-SLP

Speech-Language Pathologist · Edgewood, NM

Individual Active NPI

NPI number 1124568035

Practice location

1090 Mountain Valley Rd
Edgewood, NM 87015-8044
Phone
(505) 281-1811
Fax
(505) 281-7704

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NPI record

NPI
1124568035
Entity type
Individual (Type 1)
Enumeration date
February 27, 2017
Last updated
February 27, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 6153 NM

Mailing address

PO Box 2225
Edgewood, NM 87015-2225
Phone
(505) 281-1811
Fax
(505) 281-7704

About Eva Blakely

Eva Mae Blakely, MS/CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 1090 Mountain Valley Rd, Edgewood, NM 87015-8044. The NPI number 1124568035 was assigned on February 27, 2017 and the record was last updated on February 27, 2017.

Eva Blakely lists a license in the registry: #6153 (NM) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eva Mae Blakely, MS/CCC-SLP?

The NPI number is 1124568035.

What is the phone number of Eva Blakely?

The phone number listed for the practice location is (505) 281-1811.

Where is Eva Blakely located?

1090 Mountain Valley Rd, Edgewood, NM 87015-8044.

What is the taxonomy code for Eva Blakely?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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