Leah Blake
Individual provider Active NPI Speech-Language Pathologist · Batesville, IN
NPI 1245077569 · NPPES record last updated Jul 12, 2024
Key facts
- NPI
- 1245077569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 22005345A (IN)
- Practice address
- 929 Locust Ave
Batesville, IN 47006-9204 - Phone
- (937) 776-4700
- NPI assigned
- Jul 12, 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 |
|---|---|---|---|
| 22005345A | IN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22005345A | IN | Yes |
Addresses
Primary practice location
929 Locust Ave
Batesville, IN 47006-9204
Mailing address
929 Locust Ave
Batesville, IN 47006-9204
Phone (937) 776-4700
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- Michelle M Biltz
- Sergio Bisono
- Melissa Ann Blanton
- Leann Bond
- Maria Botros
- Paige Bowling
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All providers in Batesville, IN · Speech-Language Pathologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 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.