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

Mrs. Samantha Diane Blake, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1356953988

Mrs. Samantha Diane Blake, CCC-SLP is a Speech-Language Pathologist in Suffolk, Virginia. Licensed in Virginia. Registered with an NPI since 2020.

Licensed in
VA
In the registry since
2020
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

100 N Main St
Suffolk, VA 23434-4529
Phone: (757) 925-6764
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 2202005795 (VA)

Record details

NPI number1356953988
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 17, 2020
Last updated in NPPESAugust 17, 2020
Certification dateAugust 17, 2020

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