| Doctor Name: | PAT BLAINE BLACKWELL |
| NPI Number: | 1144290578 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 1967 |
| Business Practice Address: | 129 E Broadway Louisville, KY - 402022005 |
| Business Phone Number: | 5025838255 |
| Business Fax Number: | 5025894860 |
| Mailing Address: | 401 E Chestnut St, Suite 710 LOUISVILLE |
| State: | KY |
| Postal Code: | 402025700 |
| Phone Number: | 5025838303 |
| Fax Number: | 5025840302 |
| NPI Enumeration Date: | 01/26/2006 |
| NPI Last Update Date: | 03/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 1967 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |