Doctor Name: | MRS. MICHELLE MARIE BLAIR |
NPI Number: | 1326348699 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 00976-1 |
Business Practice Address: | 100 Forest Dr Albany, NY - 122052508 |
Business Phone Number: | 5188693006 |
Business Fax Number: | |
Mailing Address: | 7 Springfield Dr, MECHANICVILLE |
State: | NY |
Postal Code: | 121183039 |
Phone Number: | 5188992321 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2010 |
NPI Last Update Date: | 11/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 00976-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |