National Provider Identifier
Casey Jane Blackburn, M.S., CCC-SLP
Casey Jane Blackburn, M.S., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 957-7179.
Profile Overview
- NPI
- 1457606212
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- July 18, 2012
- Last Updated
- April 17, 2015
Practice Location
- 402 Rogers Parkway
- The Kessler Center
- Rochester, NY 14617
Phone: (585) 957-7179
Specialties
- Speech-Language Pathologist (235Z00000X)
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1457606212
- Entity Type
- Individual
- Last Name
- Blackburn
- First Name
- Casey
- Middle Name
- Jane
- Name Prefix
- Mrs.
- Credential
- M.S., CCC-SLP
- Provider Other Last Name
- Mahler
- Provider Other First Name
- Casey
- Provider Other Middle Name
- Jane
- Provider Other Credential Text
- M.S., CCC-SLP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 402 Rogers Parkway
- Mailing Address Line 2
- The Kessler Center
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617
- Mailing Country
- US
- Mailing Phone
- (585) 957-7179
- Mailing Fax
- (585) 924-7049
- Practice Street Address
- 402 Rogers Parkway
- Practice Address Line 2
- The Kessler Center
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14617
- Practice Country
- US
- Practice Phone
- (585) 957-7179
- Practice Fax
- (585) 924-7049
- Enumeration Date
- July 18, 2012
- Last Updated
- April 17, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X), Speech-Language Pathologist (235Z00000X)