Individual
MS. AMY BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SP
Contact information
Practice address
350 SOUTH MAIN STREET, SUITE 315 INVO HEALTHCARE ASSOCIATES, DOYLESTOWN, PA 18901
(215) 489-8760
(215) 489-8766
Mailing address
350 SOUTH MAIN STREET, SUITE 315 INVO HEALTHCARE ASSOCIATES, DOYLESTOWN, PA 18901
(215) 489-8760
(215) 489-8766
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL004083L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011034350001
MA NUMBER
PA
Enumeration date
04/16/2007
Last updated
07/08/2007
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