Blaylock, Madison

Blaylock, Madison is an individual health care provider with primary practice located at 3760 Convoy St Ste 204 , San Diego CA 92111-3744. 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. Blaylock, Madison can be contacted via phone (858) 514-0375.

Contact Information

Primary practice address
3760 Convoy St Ste 204 San Diego CA 92111-3744
Phone: (858) 514-0375
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1184211708
LBN Legal business name Blaylock, Madison
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2020
Last updated Dec 29th, 2020 - about 6 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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