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

Individual provider Speech-Language Pathologist · NPI 1164933594

Sharon M Blake, CCC-SLP is a Speech-Language Pathologist in Bloomsburg, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2017.

Licensed in
PA
In the registry since
2017
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

400 E 2nd St
Bloomsburg, PA 17815-1301
Phone: (570) 389-5380
Fax: (570) 389-5022
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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 SL007575 (PA)

Record details

NPI number1164933594
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedOctober 12, 2017
Last updated in NPPESOctober 12, 2017
Mailing addressPo Box 1388, Kingston, PA 18704-0379

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