According to our database, the NPI number for Blake Self CCC-SLP is 1164887592 and activated since 8 years ago. Blake Self CCC-SLP is an individual provider who specializes in Speech-Language Pathologist, and the primary practice location is 5704 Wonder Woods Drive, Wonder Lake, IL 60097. You can also contact Blake Self CCC-SLP via telephone number is (847) 636-7603. Provider NPI information was last updated on 12/30/2015.

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Overview of Blake Self CCC-SLP

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 12/30/2015
  • Last updated: 12/30/2015

Primary Scrop of Practice

  • Taxonomy Code: 235Z00000X
  • Specialty: Speech-Language Pathologist
  • License Number: 146012447
  • License State: IL

Provider Mailing Address

  • Address: 5704 Wonder Woods Drive
    Wonder Lake, IL 60097
  • Phone: 847-636-7603
  • Fax:

Provider Practice Location

  • Address: 5704 Wonder Woods Drive
    Wonder Lake, IL 60097
  • Phone: 847-636-7603
  • Fax:

Scope of Practice

  • Taxonomy Code: 235Z00000X
  • Specialty: Speech-Language Pathologist
  • License Number: 146012447
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Blake Self CCC-SLP?
  • A: The npi number for Blake Self CCC-SLP is 1164887592.
  • Q: What are Blake Self CCC-SLP's specialties?
  • A: Blake Self CCC-SLP's specialties are Speech-Language Pathologist and different specialities.
  • Q: What is the medical license for Blake Self CCC-SLP?
  • A: The medical license number for Blake Self CCC-SLP is 146012447 and issued in IL in USA.
  • Q: Where is Blake Self CCC-SLP practice location?
  • A: Blake Self CCC-SLP is practicing at 5704 Wonder Woods Drive, Wonder Lake, IL 60097.
  • Q: How to contact Blake Self CCC-SLP?
  • A: You can contact Blake Self CCC-SLP via 847-636-7603.