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

Mr. Philip David Blalock I, SPEECHPATHOLOGIST

Individual provider Speech-Language Pathologist · NPI 1154743383

Mr. Philip David Blalock I, SPEECHPATHOLOGIST is a Speech-Language Pathologist in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2014

Practice location Partly verified

Some contact details are missing from the federal record.

Wake Forest Baptist Health Medical Center Blvd
Winston Salem, NC 27157-0001
Phone: (336) 716-8207
Fax: (336) 716-8868
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 439 (NC)

Record details

NPI number1154743383
Entity typeIndividual (Type 1)
GenderMale
Credentials SPEECHPATHOLOGIST
Sole proprietorYes
NPI enumeratedJanuary 7, 2014
Last updated in NPPESJanuary 7, 2014

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