Christopher Blake, MACCCSLP

Speech-Language Pathologist · Eagan, MN

Individual Active NPI

NPI number 1831238591

Practice location

2795 Pilot Knob Rd
Suite #100
Eagan, MN 55121-1119
Phone
(651) 994-9644
Fax
(651) 994-8962

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NPI record

NPI
1831238591
Entity type
Individual (Type 1)
Enumeration date
February 6, 2007
Last updated
November 30, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 6349 MN

Mailing address

4058 Deerwood Trl
Eagan, MN 55122-1889
Phone
(651) 994-9644
Fax
(651) 994-8962

About Christopher Blake

Christopher Blake, MACCCSLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 2795 Pilot Knob Rd, Suite #100, Eagan, MN 55121-1119. The NPI number 1831238591 was assigned on February 6, 2007 and the record was last updated on November 30, 2015.

Christopher Blake lists a license in the registry: #6349 (MN) 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 Christopher Blake, MACCCSLP?

The NPI number is 1831238591.

What is the phone number of Christopher Blake?

The phone number listed for the practice location is (651) 994-9644.

Where is Christopher Blake located?

2795 Pilot Knob Rd, Suite #100, Eagan, MN 55121-1119.

What is the taxonomy code for Christopher 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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