Individual provider · Type 1 NPI
Mary Blaylock
Speech-Language Assistant · Florissant, MO
NPI number
1194550566
Active
Practice location
2700 Derhake Rd
Florissant, MO 63033-3918
Mailing address
17 Robin Ln
Fenton, MO 63026-5665
Other practice locations
- 955 Derhake Rd, Florissant, MO 63033-5931 · (314) 831-4633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | None listed |
Speech-Language Assistant: Definition to come...
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About NPI 1194550566
Mary Blaylock's National Provider Identifier is 1194550566, issued on Sep 5, 2024. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Florissant, MO. The record was last updated on Sep 5, 2024.