Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619435823 Individual Practitioner Female Practitioner

Judith Ann Blaine , CCC - SLP

Speech-Language Pathologist • Wake Forest, NC

Professional Overview & Biography Verified Profile Summary

Judith Blaine, CCC - SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Wake Forest, NC. Practice services are available at 1209 LITCHBOROUGH WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1209 Litchborough Way

Wake Forest, NC 275873614

Telephone 9196240849

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Wake Forest, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.1 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
83 Specialists

Practicing in Wake Forest, NC (7242 Statewide)

Telehealth Adoption Rate
0.0% 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

State License NC 4654

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 March 06, 2019

NPI status registered as active in NPPES database

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Updated Practice Location March 06, 2019

Registered at 1209 LITCHBOROUGH WAY, WAKE FOREST, NC 275873614 (Tel: 9196240849)

📍
Updated Business Mailing Address March 06, 2019

Registered at 1209 LITCHBOROUGH WAY, WAKE FOREST, NC 275873614 (Tel: 9196240849)

👤
Provider Name / Credentials Updated March 06, 2019

Recorded as JUDITH BLAINE, CCC - SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2019

Speech-Language Pathologist (License #4654 in NC)

🟢
Initial NPI Registration & Enumeration March 06, 2019

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: 1619435823
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2019
Last Update: March 06, 2019
Sole Proprietor: No

Mailing Address

1209 Litchborough Way

Wake Forest, NC 275873614

Phone: 9196240849

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.