MARY BLAYLOCK
NPI 1194550566
Specialist/Technologist - Speech-Language Assistant in Florissant, MO

Q: What is Mary Blaylock's NPI number?

The NPI number for Mary Blaylock is 1194550566. It was assigned to this individual provider in the NPPES registry on September 5, 2024.

Q: What is Mary Blaylock's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

Q: When was this NPI record last updated?

The NPPES record for Mary Blaylock was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since September 05, 2024

2700 DERHAKE RD, FLORISSANT, MO 63033(314) 831-0440 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary Blaylock NPPES

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

MARY BLAYLOCK (NPI 1194550566) is an individual speech-language assistant in Florissant, Missouri and active in the NPI registry since September 2024. She maintains a secondary practice location in Florissant.

NPPES Registry Identity

NPI1194550566

Entity TypeIndividualFemale

Primary Taxonomy2355S0801X

Provider Legal NameMARY BLAYLOCK

Location Address2700 DERHAKE RDFlorissant, MO 63033-3918

Mailing Address17 Robin LnFenton, MO 63026-5665 · (314) 712-6843

Phone(314) 831-0440

Sole ProprietorNo

Enumeration DateSeptember 5, 2024

NPPES CertifiedSeptember 5, 2024

✔ NPI 1194550566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers

Taxonomy Code2355S0801X

2700 DERHAKE RD, Florissant, MO 63033

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Secondary Practice Location 1

Location 1955 Derhake RdFlorissant, MO 63033-5931 · Phone (314) 831-4633

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABIGAIL SIMON MS

Speech-Language Pathologist

2700 DERHAKE RD
FLORISSANT, MO 63033

St. Louis County (630) 715-9042

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 Mary Blaylock's NPI number?

The NPI number for Mary Blaylock is 1194550566. It was assigned to this individual provider in the NPPES registry on September 5, 2024.

Where is Mary Blaylock located?

Mary Blaylock practices at 2700 Derhake Rd, Florissant, MO 63033. The listed phone number is (314) 831-0440.

What is Mary Blaylock's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

When was this NPI record last updated?

The NPPES record for Mary Blaylock was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.