Misty Blaylock, MA, CCC-SLP

Speech-Language Pathologist · Berea, KY

Individual Active NPI

NPI number 1821597006

Practice location

1043 Brooklyn Blvd
Berea, KY 40403-1090
Phone
(859) 228-0551

Open in Google Maps

NPI record

NPI
1821597006
Entity type
Individual (Type 1)
Enumeration date
February 2, 2018
Last updated
February 2, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 138621 KY

Mailing address

1013 Cherry Ct
Richmond, KY 40475-8902

About Misty Blaylock

Misty Blaylock, MA, CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 1043 Brooklyn Blvd, Berea, KY 40403-1090. The NPI number 1821597006 was assigned on February 2, 2018 and the record was last updated on February 2, 2018.

Misty Blaylock lists a license in the registry: #138621 (KY) 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 Misty Blaylock, MA, CCC-SLP?

The NPI number is 1821597006.

What is the phone number of Misty Blaylock?

The phone number listed for the practice location is (859) 228-0551.

Where is Misty Blaylock located?

1043 Brooklyn Blvd, Berea, KY 40403-1090.

What is the taxonomy code for Misty Blaylock?

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.

Other Speech-Language Pathologist providers in Berea

All Speech-Language Pathologist providers in Berea, KY →