Blake, Tara Elise
Blake, Tara Elise is an individual health care provider with primary practice located at 142 Pescara Blvd , Brentwood CA 94513-2991. 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, Tara Elise can be contacted via phone (530) 518-9991.Contact Information
Primary practice address
142 Pescara Blvd
Brentwood CA 94513-2991
Phone: (530) 518-9991
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 17555 | California |
Profile Details
| NPI number | 1548599111 |
|---|---|
| LBN Legal business name | Blake, Tara Elise |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 10th, 2009 |
| Last updated | Jan 3rd, 2022 - about 4 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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