Blake, Tara

Blake, Tara is an individual health care provider with primary practice located at 8 Taylor Farm Rd , Windham NH 03087-1266. 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, Tara can be contacted via phone (603) 244-0025.

Contact Information

Primary practice address
8 Taylor Farm Rd Windham NH 03087-1266
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 0762 New Hampshire

Profile Details

NPI number 1538294624
LBN Legal business name Blake, Tara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Sep 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538294624 NPPES
New Hampshire Other 66Y002825NH01 ANTHEM

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