Blake, Jessica

Blake, Jessica is an individual health care provider with primary practice located at 9000 College St , Collinsville IL 62234-1701. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Blake, Jessica can be contacted via phone (618) 346-6213.

Contact Information

Primary practice address
9000 College St Collinsville IL 62234-1701
Phone: (618) 346-6213
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1821501602
LBN Legal business name Blake, Jessica
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2017
Last updated Nov 15th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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