Blaylock, Misty

Blaylock, Misty is an individual health care provider with primary practice located at 1043 Brooklyn Blvd , Berea KY 40403-1090. 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, Misty can be contacted via phone (859) 228-0551.

Contact Information

Primary practice address
1043 Brooklyn Blvd Berea KY 40403-1090
Phone: (859) 228-0551
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 138621 Kentucky

Profile Details

NPI number 1821597006
LBN Legal business name Blaylock, Misty
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2018
Last updated Feb 2nd, 2018 - about 7 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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