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Judith Ann Blaine, CCC - SLP

NPI 1619435823ActiveIndividual· Speech-Language Pathologist· Wake Forest, NC

Speech-Language Pathologist (CCC - SLP) in Wake Forest, North Carolina, licensed in NC, with an NPI issued in March 2019.

Overview

NPI1619435823
StatusActive
Entity typeIndividual
CredentialCCC - SLP
Sole proprietorNo
NPI issuedMar 6, 2019
Last updated in NPPESMar 6, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000X4654NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Speech-Language Pathologist providers in Wake Forest

All Speech-Language Pathologist providers in North Carolina →