Individual
MRS. TONI WALKER BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1923 BRANDYWINE TRL, FORT WAYNE, IN 46845-1579
(260) 637-3117
Mailing address
1923 BRANDYWINE TRL, FORT WAYNE, IN 46845-1579
(260) 637-3117
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003712A
IN
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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