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SANDRA BLAKE SLP-CCC
NPI 1093121345
Speech-Language Pathologist in Staten Island, NY

Active since July 08, 2014
36 CORNELL ST, STATEN ISLAND, NY 10302(646) 733-7560 Get Directions Write a Review

NPPES record last updated: December 2, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sandra Blake Slp-ccc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA BLAKE SLP-CCC (NPI 1093121345) is an individual speech-language pathologist provider in Staten Island, New York and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1093121345
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSANDRA BLAKECredential: SLP-CCC
Location Address36 CORNELL STStaten Island, NY 10302-2009
Mailing Address36 Cornell StStaten Island, NY 10302-2009 · (646) 733-7560
Phone(646) 733-7560
Sole ProprietorYes
Enumeration DateJuly 8, 2014
Last NPPES UpdateDecember 2, 2016
✔ NPI 1093121345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

36 CORNELL ST, Staten Island, NY 10302
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Other Names 1

Former Name (1)Ms. Sandra Marie Devito Slp-ccc

Frequently Asked Questions

What is Sandra Blake's NPI number?

The NPI number assigned to this healthcare provider is 1093121345, enumerated as an "individual" on July 08, 2014.

Where is the provider located?

The provider is located at 36 CORNELL ST STATEN ISLAND, NY 10302 and the phone number is (646) 733-7560.

What is the provider's specialty?

Speech-Language Pathologist with taxonomy code 235Z00000X.