Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Annie Nguyen Blakely, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1972479681

Annie Nguyen Blakely, MS, CCC-SLP is a Speech-Language Pathologist in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

955 Lincoln Ave
San Jose, CA 95126-3711
Phone: (669) 250-3317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 24599 (CA)

Record details

NPI number1972479681
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedOctober 11, 2025
Last updated in NPPESOctober 11, 2025
Certification dateOctober 11, 2025

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