BLAKE CHILDERS


Address: 1000 W Bulldog Blvd, Fayetteville, AR 72701-4714
Phone: 4799738639

BLAKE CHILDERS (NPI# 1407256423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407256423
Entity Type Individual
Full Name BLAKE CHILDERS
Practice Address 1000 W Bulldog Blvd
Fayetteville
AR 72701-4714
Practice Telephone 4799738639
Mailing Telephone 4799738639
Enumeration Date 2014-08-27
Last Update Date 2014-08-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist SP#2670 AR Speech, Language and Hearing Service Providers

Other Providers BLAKE CHILDERS

NPI Name Taxonomy Address Enumeration
1437210663 Blake Collins Childers Dentist 20445 Sh 249, Suite 190, Houston, TX 77070 2006-12-12

Office Location

Street Address 1000 W BULLDOG BLVD
City FAYETTEVILLE
State AR
Zip Code 72701-4714

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972668812 Superintendent of Fayetteville Public Schools Local Education Agency (LEA) 1000 W Bulldog Blvd, Fayetteville, AR 72701-4714 2006-12-22
1043852056 Allison Claire Laney Speech-Language Pathologist 1000 W Bulldog Blvd, Fayetteville, AR 72701-4714 2019-10-10
1619524964 Kelsey Laine Alsup Speech-Language Pathologist 1000 W Bulldog Blvd, Fayetteville, AR 72701-4714 2019-08-21
1407335565 Abby Ramirez Speech-Language Pathologist 1000 W Bulldog Blvd, Fayetteville, AR 72701-4714 2018-08-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588213417 Biggers Counseling, LLC Social Worker 349 S Hill Ave, Fayetteville, AR 72701 2019-09-04
1235603200 Arkansas Holistic Health Care Chiropractic Chiropractor 2618 Mlk Jr Blvd, Fayetteville, AR 72701 2019-01-14
1225520828 Jacoby Markie Clemons Specialist/Technologist 1201 West Leroy Pond Dr, Fayetteville, AR 72701 2018-05-31
1952892390 Ambur Dryer Specialist/Technologist 994 W Mlk Jr. Blvd., Fayetteville, AR 72701 2018-05-22
1851814230 Blakely Low Psychologist 1229 Meadow Street Suite #221, Jones Family Center for Student-athlete Success, Fayetteville, AR 72701 2017-07-18
1518496215 Van Michael Mcqueen Jr. Dentist 640 N Garland Ave # 104, Fayetteville, AR 72701 2017-06-06
1407204217 Kenna Megan Hodeaux Specialist/Technologist 1201 Leroy Pond Drive, Sports Medicine Department, Fayetteville, AR 72701 2016-06-02
1740634435 Crystal Susan Rofkahr Psychologist 26 E Meadow St Ste 3, Fayetteville, AR 72701 2016-04-19
1942663521 Satoshi IIda Specialist/Technologist 1010 S Dunn Ave., Apt 205a, Fayetteville, AR 72701 2016-04-01
1992163901 Dr Don M Chaney Dds Pa Dentist 1826 N. Crossover Road, Suite 2, Fayetteville, AR 72701 2016-02-04
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033720297 Madeleine Caroline Montoya Speech-Language Pathologist 1830 Owen Dr Ste 103, Fayetteville, NC 28304-3412 2020-08-12
1215548623 Jasmine Nicole Nile Speech-Language Pathologist 106 S Duncan Ave, Fayetteville, AR 72701-5631 2020-08-11
1669096764 Babbling Bunch Speech Therapy LLC Speech-Language Pathologist 145 Pepperdine Way, Fayetteville, GA 30214-3666 2020-06-04
1598387037 Anne-ashley Hull Speech-Language Pathologist 12905 Randolph Road, Fayetteville, AR 72704 2020-05-07
1801436597 Ruhee Keshwani Speech-Language Pathologist 1343 N Leverett Ave Apt 9, Fayetteville, AR 72703-1756 2020-01-09
1265080121 Tempest Olivia Baker Speech-Language Pathologist 351 Wagoner Dr Ste 341, Fayetteville, NC 28303-4671 2019-09-03
1407403991 Jennifer Nicole Gunderson Speech-Language Pathologist Bayada, 3419a Melrose Rd., Fayetteville, NC 28306-2830 2019-08-20
1275191769 Lindsay Denise Richards Speech-Language Pathologist 3162 W Martin Luther King Blvd Ste 4, Fayetteville, AR 72704-7679 2019-05-30
1285290353 Affinity Therapy Services Speech-Language Pathologist 2755 Bardolino Dr, Fayetteville, NC 28306-4635 2019-05-14
1942766829 Speech Within Reach Speech-Language Pathologist 5594 Linkwood Dr, Fayetteville, NC 28311-0289 2019-02-15
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 72701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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