National Provider Identifier

Carol A Blair, MS/CCC-SLP

Carol A Blair, MS/CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Lake View, NY and a listed phone number of (716) 627-7348.

NPI 1952679938Lake View, NYSpeech-Language Pathologist

Profile Overview

NPI
1952679938
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
December 06, 2011
Last Updated
December 06, 2011

Practice Location

  • 5892 Old Lake Shore RD
  • Lake View, NY 14085-9713

Phone: (716) 627-7348

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1952679938
Entity Type
Individual
Last Name
Blair
First Name
Carol
Middle Name
A
Name Prefix
Mrs.
Credential
MS/CCC-SLP
Mailing Street Address
5892 Old Lake Shore RD
Mailing City
Lake View
Mailing State
NY
Mailing ZIP Code
14085-9713
Mailing Country
US
Mailing Phone
(716) 627-7348
Practice Street Address
5892 Old Lake Shore RD
Practice City
Lake View
Practice State
NY
Practice ZIP Code
14085-9713
Practice Country
US
Practice Phone
(716) 627-7348
Enumeration Date
December 06, 2011
Last Updated
December 06, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)