MEDICARE: MS. BLAIRE STANLEY M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SA11949	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447546577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BLAIRE STANLEY M.S.

Provider Business Mailing Address
First Line	:	401 N ROSEMARY AVE
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-4133
Country	:	US
Telephone Number	:	561-714-6968
Fax Number	:	561-209-2771

Provider Business Practice Location Address
First Line	:	401 N ROSEMARY AVE
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-4133
Country	:	US
Telephone Number	:	561-714-6968
Fax Number	:	561-209-2771

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2011
Last Update Date	:	04/03/2025

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Directions to “ MS. BLAIRE STANLEY M.S.” Practice Location

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