Blair Matthew Wolf, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146010343 Issued in IL

Practice address

8117 Center Run Dr
Indianapolis, IN 46250-1945

Phone

(317) 570-9205

NPI assigned

Sep 19, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Blair Cheryl Matthew Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Toddlers Choice Inc.

  • Rehabilitation Clinic/Center
  • Indianapolis, IN
  • NPI 1376693739

  Speech-Language Pathologist

  NPD (past)
• Toddlers Choice Inc.

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1629033543

  Speech-Language Pathologist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1245512078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8117 CENTER RUN DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501945",
            "telephone_number": "317-570-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8117 CENTER RUN DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501945",
            "telephone_number": "317-570-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "BLAIR",
        "middle_name": "MATTHEW",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-19",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22005364A",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146010343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAIR",
            "last_name": "MATTHEW",
            "middle_name": "CHERYL",
            "credential": "M.A., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ann Susan Wojtalik
• Kelly Woker, MSN, RN, AGCNS-BC
• Jessica N Wolanin, R.D.
• Matthew Walter Wolenski, M.D.
• Anthony Charles Wolf, DC
• Courtney E Wolf, NP
• David H. Wolf, D.D.S.
• Emilie M Wolf, NP
• Emily Anna Wolf, BSN, RN
• Eric Anthony Wolf, DC

• Speech-Language Pathologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.