Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary M Blair, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1750651378

Mary M Blair, CCC-SLP is a Speech-Language Pathologist in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
What do these letters mean?
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

1111 Summit Ave
Fort Worth, TX 76102
Phone: (817) 555-5555
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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 105753 (TX)

Record details

NPI number1750651378
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedJanuary 12, 2012
Last updated in NPPESJune 6, 2012

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