Blake, Roberta Lynn

Blake, Roberta Lynn is an sole proprietor health care provider with primary practice located at 950 Campbell Ave , West Haven CT 06516-2770. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist, which is considered as her primary health care specialty. Blake, Roberta Lynn can be contacted via phone (203) 932-5711.

Contact Information

Primary practice address
950 Campbell Ave West Haven CT 06516-2770
Phone: (203) 932-5711
Fax: (203) 937-4791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist 225A00000X Connecticut

Profile Details

NPI number 1124125927
LBN Legal business name Blake, Roberta Lynn
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124125927 NPPES
Connecticut Other 225A00000X MUSIC THERAPIST

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