Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Michael Todd Blackburn, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1114277662

Mr. Michael Todd Blackburn, MA, CCC-SLP is a Speech-Language Pathologist in Auburn, Washington. Licensed in Washington. Registered with an NPI since 2012.

Licensed in
WA
In the registry since
2012
What do these letters mean?
MA — Master of Arts
A graduate arts 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

502 4th St NE
Auburn, WA 98002-5020
Phone: (253) 931-4927
Fax: (253) 931-4742
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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 415854R (WA)

Record details

NPI number1114277662
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 12, 2012
Last updated in NPPESSeptember 12, 2012

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