Blake, Melissa

Blake, Melissa is an individual health care provider with primary practice located at 1924 W A St , Hastings NE 68901-5650. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Blake, Melissa can be contacted via phone (402) 461-7578.

Contact Information

Primary practice address
1924 W A St Hastings NE 68901-5650
Phone: (402) 461-7578
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1972052157
LBN Legal business name Blake, Melissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2016
Last updated Sep 28th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972052157 NPPES
Nebraska MEDICAID 473600101

Popular Providers