IndividualActive
Blake Pennington
NPI 1366812679 · Hearing Instrument Specialist · Saint Louis, MO
Provider details
- NPI number
- 1366812679
- Entity type
- Individual
- Primary specialty
- Hearing Instrument SpecialistSpeech, Language and Hearing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2015031321 (MO)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
2548 Lemay Ferry Rd
Saint Louis, MO 63125-3131
Phone: (314) 416-1415
Fax: (314) 416-1495
Approximate (ZIP-level) locationGet directions
Mailing address
2548 Lemay Ferry Rd
Saint Louis, MO 63125-3131
Registry dates
- Enumerated
- 2015-09-29
- Last updated
- 2015-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.