Individual
BLAKE ALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 OAKRIDGE DR UNIT 105, FORT COLLINS, CO 80525-9651
(337) 532-5264
Mailing address
1105 10TH ST, LAKE CHARLES, LA 70601-6348
(337) 532-5264
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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