ANDREW BLAKE

SALT LAKE CITY, UT
NPI1225899602
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: UT  12379664-4102)
Enumeration Date2024-01-22
Last Update Date2024-02-14
Business Address
ANDREW BLAKE CCC-SLP
1200 E 3900 S
SALT LAKE CITY, UT 84124-1300
Phone number: 801-293-6800
Mailing Address
ANDREW BLAKE CCC-SLP
2170 S MCCLELLAND ST APT 320
SALT LAKE CITY, UT 84106-1018
Phone number: 208-891-1856