Provider Demographics
NPI:1427545797
Name:MCFARLANE-BLAKE, ZORA
Entity type:Individual
Prefix:
First Name:ZORA
Middle Name:
Last Name:MCFARLANE-BLAKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5810 KINGSTOWNE CTR STE 120
Mailing Address - Street 2:PMB #106
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-5711
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5810 KINGSTOWNE CTR STE 120
Practice Address - Street 2:PMB #106
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22315-5711
Practice Address - Country:US
Practice Address - Phone:202-505-2039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-22
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist