Individual
SYDNEY LAUREN BLACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CFY
Contact information
Practice address
3821 WILSON BLVD, ARLINGTON, VA 22203-1981
(484) 395-3482
(484) 813-6530
Mailing address
900 N RANDOLPH ST APT 1500, ARLINGTON, VA 22203-4073
(267) 322-1217
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204001036
VA
235Z00000X
Speech-Language Pathologist
PENDING
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZAR122554059001
HIGHMARK BLUESHIELD
PA
Enumeration date
08/19/2022
Last updated
08/25/2022
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