Individual
ANNIE NGUYEN BLAKELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
955 LINCOLN AVE, SAN JOSE, CA 95126-3711
(669) 250-3317
Mailing address
955 LINCOLN AVE APT A, SAN JOSE, CA 95126-3711
(669) 250-3317
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24599
CA
Other
Enumeration date
10/11/2025
Last updated
10/11/2025
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