Miranda Marie Blake, M.S.

Speech-Language Pathologist · Anacortes, WA

Individual Active NPI

NPI number 1477002293

Practice location

1313 41st St
Anacortes, WA 98221-3512
Phone
(360) 503-1556

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NPI record

NPI
1477002293
Entity type
Individual (Type 1)
Enumeration date
September 22, 2016
Last updated
September 22, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X LL0004514 WA

About Miranda Blake

Miranda Marie Blake, M.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 1313 41st St, Anacortes, WA 98221-3512. The NPI number 1477002293 was assigned on September 22, 2016 and the record was last updated on September 22, 2016.

Miranda Blake lists a license in the registry: #LL0004514 (WA) 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 Miranda Marie Blake, M.S.?

The NPI number is 1477002293.

What is the phone number of Miranda Blake?

The phone number listed for the practice location is (360) 503-1556.

Where is Miranda Blake located?

1313 41st St, Anacortes, WA 98221-3512.

What is the taxonomy code for Miranda Blake?

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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