Laura Michelle Blaha, MS CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

011778-1 Issued in NY

Practice address

28 Mill Pond LN
Poughquag, NY 12570-5571

Phone

(845) 223-7936

NPI assigned

Sep 16, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1518116391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MILL POND LN",
            "city": "POUGHQUAG",
            "state": "NY",
            "postal_code": "125705571",
            "telephone_number": "845-223-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MILL POND LN",
            "city": "POUGHQUAG",
            "state": "NY",
            "postal_code": "125705571",
            "telephone_number": "845-223-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAHA",
        "first_name": "LAURA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011778-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Arocho
• Sharyn Auletta, M.A.
• Giovanna Baca, SLP
• Heather Bennis, MS SPEC ED
• Susan Marie Bernardi I, SPECIAL EDUCATOR
• Sierra Burt
• Richard John Caragine, M.S,CCC-SLP
• Lucille S. Cardinale, M.S. ED. CCC-SLP
• Carriage House Preschool
• Meghan Rose Cerven

• Speech-Language Pathologist in Poughquag, NY
• Providers in Poughquag, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.