Provider Demographics
NPI:1639321805
Name:BLACKER, APRIL NEUMAN (MA CCC)
Entity type:Individual
Prefix:MS
First Name:APRIL
Middle Name:NEUMAN
Last Name:BLACKER
Suffix:
Gender:F
Credentials:MA CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 GREENRIDGE AVE APT 5C
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-1281
Mailing Address - Country:US
Mailing Address - Phone:914-428-9575
Mailing Address - Fax:
Practice Address - Street 1:30 GREENRIDGE AVE APT 5C
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1281
Practice Address - Country:US
Practice Address - Phone:914-428-9575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-18
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009536-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist