Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Blake, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1225899602

Andrew Blake, CCC-SLP is a Speech-Language Pathologist in Salt Lake City, Utah. Works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2024
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

1200 E 3900 S
Salt Lake City, UT 84124-1300
Phone: (801) 293-6800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 85 N Medical Dr, Salt Lake City, UT 84112-1100 — (801) 587-3422

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 12379664-4102 (UT)

Record details

NPI number1225899602
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedJanuary 22, 2024
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025
Mailing address2170 S McClelland St Apt 320, Salt Lake City, UT 84106-1018

Other providers in Salt Lake City