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: August 09, 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
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

Other Names 1

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Blake's NPI number?

The NPI number for Sandra Blake is 1093121345. It was assigned to this individual provider in the NPPES registry on July 8, 2014. The provider is also known as Ms. Sandra Marie Devito Slp-Ccc.

Where is Sandra Blake located?

Sandra Blake practices at 36 Cornell St, Staten Island, NY 10302. The listed phone number is (646) 733-7560.

What is Sandra Blake's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Sandra Blake was last updated on December 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.