Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093121345 Individual Practitioner Female Practitioner

Sandra Blake , SLP-CCC

Speech-Language Pathologist • Staten Island, NY

Professional Overview & Biography Verified Profile Summary

Sandra Blake, SLP-CCC is a registered healthcare professional specializing in Speech-Language Pathologist in Staten Island, NY. Practice services are available at 36 CORNELL ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

36 Cornell St

Staten Island, NY 103022009

Telephone 6467337560

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Staten Island, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.1 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1116 Specialists

Practicing in Staten Island, NY (25106 Statewide)

Telehealth Adoption Rate
0.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2016

Registered at 36 CORNELL ST, STATEN ISLAND, NY 103022009 (Tel: 6467337560)

📍
Updated Business Mailing Address December 02, 2016

Registered at 36 CORNELL ST, STATEN ISLAND, NY 103022009 (Tel: 6467337560)

👤
Provider Name / Credentials Updated December 02, 2016

Recorded as SANDRA BLAKE, SLP-CCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2016

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration July 08, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093121345
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2014
Last Update: December 02, 2016
Sole Proprietor: Yes

Mailing Address

36 Cornell St

Staten Island, NY 103022009

Phone: 6467337560

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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