Individual
MRS. ERICKA BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
1849 KENDALL LN, LOUISVILLE, KY 40216-2807
(502) 449-4668
Mailing address
1849 KENDALL LN, LOUISVILLE, KY 40216-2807
(502) 449-4668
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-2464
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GN109
—
KY
Enumeration date
10/18/2010
Last updated
10/18/2010
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