Blake Self, CCC-SLP
Blake Self, CCC-SLP is a Speech-Language Pathologist in Wonder Lake, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2015
What do these letters mean?
- CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
- A speech-language pathologist certified by ASHA.
Practice location Address checks out
5704 Wonder Woods DrWonder Lake, IL 60097
Phone: (847) 636-7603
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 146012447 (IL) |
|---|
Record details
| NPI number | 1164887592 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CCC-SLP |
| Sole proprietor | Yes |
| NPI enumerated | December 30, 2015 |
| Last updated in NPPES | December 30, 2015 |
| Mailing address | 5704 Wonder Woods Drive, Wonder Lake, IL 60097 |
Other providers in Wonder Lake
-
Driscoll Pediatric Speech Services, Inc
7709 Catalpa Dr, Wonder Lake, IL 60097-9259 · (815) 342-7957
-
Kristi Newman
6809 McCullom Lake Rd, Wonder Lake, IL 60097-9546 · (815) 653-2311
-
Mrs. Lois Jean Wenkel
5622 Woodlane Dr, Wonder Lake, IL 60097-8123 · (815) 653-9068