Caitlyn Blake
Individual provider Active NPI Speech-Language Pathologist · Whitehall, PA
NPI 1548092877 · NPPES record last updated Aug 15, 2024
Key facts
- NPI
- 1548092877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SL017841 (PA)
- Practice address
- 4150 Redbud Dr W
Whitehall, PA 18052-1952 - Phone
- (610) 739-8654
- NPI assigned
- Aug 15, 2024
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL017841 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapyties | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL017841 | PA | Yes |
Addresses
Primary practice location
4150 Redbud Dr W
Whitehall, PA 18052-1952
Mailing address
4150 Redbud Dr W
Whitehall, PA 18052-1952
Phone (610) 739-8654
Other providers in Whitehall, PA
- F. Scott Berdux
- Bible Fellowship Church Homes, Inc.
- Bio-Medical Applications of Pennsylvania, Inc.
- Bio-Medical Applications of Pennsylvania, Inc.
- Birchwood Behavioral Health Services
- Danielle Bloomberg
- Blossom Beyond Boundaries LLC
- Bluespring Staffing Services LLC
- Rachael Bond
- Tracy Borkenhagen
All providers in Whitehall, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 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.