Becky S Blackaby, MS CCC SLP
Individual provider Active NPI Speech-Language Pathologist · Paris, MO
NPI 1386772093 · NPPES record last updated Dec 6, 2007
Key facts
- NPI
- 1386772093
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2003008347 (MO)
- Practice address
- 740 Cleveland St
Paris, MO 65275-1120 - Phone
- (660) 327-5116
- Fax
- (660) 327-4290
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003008347 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paris Board of Education | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2003008347 | MO | Yes |
Addresses
Primary practice location
740 Cleveland St
Paris, MO 65275-1120
Mailing address
740 Cleveland St
Paris, MO 65275-1120
Phone (660) 327-5116
Other providers in Paris, MO
- Andlee
- Andlee, LLC
- Blessing Corporate Services, Inc
- Blessing Hospital
- Ashley Bryant
- Community Care Rehabilitation, LLC
- Mary J. Crawford
All providers in Paris, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2007. 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.