Active NPI
Amber Blough, M. S., CCC-SLP/L
- Speech-Language Pathologist
- Ebensburg, PA
National Provider Identifier
1548606700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL011061
- Practice address
- 3053 New Germany Rd
Ebensburg, PA 15931-3516 - Phone
- (814) 472-1100
- Fax
- (814) 472-1105
- NPI assigned
- May 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL011061 | PA | Primary |
Addresses
Primary practice location
3053 New Germany Rd
Ebensburg, PA 15931-3516
Mailing address
3053 New Germany Rd
Ebensburg, PA 15931-3516
Phone (814) 472-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL011061 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368576000000",
"number": "1548606700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3053 NEW GERMANY RD",
"city": "EBENSBURG",
"state": "PA",
"postal_code": "159313516",
"telephone_number": "814-472-1100",
"fax_number": "814-472-1105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3053 NEW GERMANY RD",
"city": "EBENSBURG",
"state": "PA",
"postal_code": "159313516",
"telephone_number": "814-472-1100",
"fax_number": "814-472-1105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOUGH",
"first_name": "AMBER",
"credential": "M. S., CCC-SLP/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-15",
"last_updated": "2013-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL011061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ebensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.