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Active NPI 1225899602 Individual Practitioner Male Practitioner

Andrew Blake , CCC-SLP

Speech-Language Pathologist • Salt Lake City, UT

Professional Overview & Biography Verified Profile Summary

Andrew Blake, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Salt Lake City, UT. Practice services are available at 1200 E 3900 S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 E 3900 S

Salt Lake City, UT 841241300

Telephone 8012936800
Associated Practice Facility / Clinic
🏢 Utah Imaging Associates Facility NPI 1740281526

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Salt Lake City, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.9 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
357 Specialists

Practicing in Salt Lake City, UT (1352 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

CMS Verified: 2025-03-04
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License UT 12379664-4102

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.

Secondary Practice Locations

85 N Medical Dr

Salt Lake City, UT 841121100

Phone: 8015873422

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Mark Powell

Occupational Therapist

NPI 1003337585
NPI 1013008077

Doctor of Medicine (M.D.)

NPI 1023109618

Doctor of Medicine (M.D.)

Elizabeth Lockwood , PT

Physical Therapist

NPI 1023596632

Physical Therapist

Dr. Tammy Park , MD

Emergency Medicine

NPI 1043246036

Doctor of Medicine (M.D.)

Dr. Adam Stiles , MD

Emergency Medicine

NPI 1043304819

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2024

Speech-Language Pathologist (License #12379664-4102 in UT)

NPI Profile Active January 22, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location January 22, 2024

Registered at 1200 E 3900 S, SALT LAKE CITY, UT 841241300 (Tel: 8012936800)

📍
Updated Business Mailing Address January 22, 2024

Registered at 2170 S MCCLELLAND ST APT 320, SALT LAKE CITY, UT 841061018 (Tel: 2088911856)

👤
Provider Name / Credentials Updated January 22, 2024

Recorded as ANDREW BLAKE, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2024

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration January 22, 2024

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: 1225899602
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2024
Last Update: March 04, 2025
Sole Proprietor: No

Mailing Address

2170 S Mcclelland St Apt 320

Salt Lake City, UT 841061018

Phone: 2088911856

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.