Michaela Marie Block, SLP
Individual provider Active NPI Speech-Language Pathologist · Altadena, CA
NPI 1083440762 · NPPES record last updated Sep 10, 2024
Key facts
- NPI
- 1083440762
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 13849 (CA)
- Practice address
- PO Box 6045
Altadena, CA 91003-6045 - Phone
- (626) 429-4253
- NPI assigned
- Sep 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13849 | CA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 13849 | CA | Yes |
Addresses
Primary practice location
PO Box 6045
Altadena, CA 91003-6045
Mailing address
PO Box 6045
Altadena, CA 91003-6045
Phone (626) 429-4253
Other providers in Altadena, CA
- Regina Marie Bette
- Shawn Bettencourt
- Rita Jean Biasi
- Bilingual SLP Services, Inc
- Tarik K Blair
- Blue Heaven Hospice & Palliative Care Inc
- Armond Boldi
- Joanna Bond
- Gerald Steven Borts
- Bourne Inc
All providers in Altadena, CA · Speech-Language Pathologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.