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

Individual provider Speech-Language Pathologist · NPI 1619254869

Joshua D Blackmon, MED, CCC is a Speech-Language Pathologist in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

1000 Johnson Ferry Rd Ste A100
Marietta, GA 30068-2114
Phone: (770) 977-9457
Fax: (770) 977-5087
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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 SLP007558 (GA)

Record details

NPI number1619254869
Entity typeIndividual (Type 1)
GenderMale
Credentials MED , CCC
Sole proprietorNo
NPI enumeratedNovember 15, 2011
Last updated in NPPESNovember 15, 2011

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