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

Individual provider Speech-Language Pathologist · NPI 1548599111

Tara Elise Blake, MA is a Speech-Language Pathologist in Brentwood, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

142 Pescara Blvd
Brentwood, CA 94513-2991
Phone: (530) 518-9991
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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 17555 (CA)

Record details

NPI number1548599111
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedDecember 10, 2009
Last updated in NPPESJanuary 3, 2022

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