Individual
HEATHER LYNN BLAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
651 RIVER WALK PKWY, CHESAPEAKE, VA 23320-6819
(757) 401-4840
Mailing address
1957 BEECHWOOD RD, CHESAPEAKE, VA 23323-5329
(540) 907-3174
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005532
VA
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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