NPI 1013372127

Kandace Blake, MACCCSLP

Practitioner Speech-Language Pathologist New Bedford, MA

Practice location

Address: 863 Hathaway Rd, New Bedford, MA 02740-1916
Phone: (803) 261-9039
Mailing address: 1755 Wittington Pl STE. #175, Dallas, TX 75234-1927

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SP-9750-SL (MA)

Other Speech-Language Pathologist providers in Massachusetts →

Registry record

NPI: 1013372127
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Dec 2015
Record last updated: 17 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.