Stephanie L Blenner, MD
Pediatrics, Developmental - Behavioral Pediatrics in Worcester, Massachusetts
1518946466- Practice location
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone
- 774-442-3028
- Fax
- 774-442-6740
- Last updated
- April 18, 2017
Stephanie L Blenner is a Pediatrics, Developmental - Behavioral Pediatrics based in Worcester, MA. Stephanie L Blenner practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Stephanie L Blenner is 1518946466 and holds a License No. 216795 (MA). The current practice location address for Stephanie L Blenner is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 774-442-3028 and via fax at 774-442-6740.
Provider Profile Details
- NPI Number
- 1518946466
- Provider Name
- Stephanie L Blenner
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone Number
- 774-442-3028
- Fax Number
- 774-442-6740
- Primary Taxonomy
- Pediatrics, Developmental - Behavioral Pediatrics · 2080P0006X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 10, 2006
- Last Update Date
- April 18, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Lake Ave N
Worcester, MA 01655-0002 - City
- Worcester
- State
- Massachusetts
- Zip
- 01655-0002
- Phone Number
- 774-442-3028
- Fax Number
- 774-442-6740
Provider Business Mailing Address Details
- Address
- Po Box 415348
Boston, MA 02241-5348 - City
- Boston
- State
- MA
- Zip
- 02241-5348
- Phone Number
- 800-225-8885
- Fax Number
- 508-334-1977
License Information
- License Number (1)
- 216795
- License State (1)
- MA
- Taxonomy (1)
- Pediatrics · 208000000X
- License Number (2)
- 216795
- License State (2)
- MA
- Taxonomy (2)
- Pediatrics, Developmental - Behavioral Pediatrics · 2080P0006X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics, Developmental - Behavioral Pediatrics providers near Worcester, MA
View all Pediatrics, Developmental - Behavioral Pediatrics providers in Worcester →- Dr. Deborah L Shipman, MDPediatrics, Developmental - Behavioral Pediatrics · NPI 1225249196
- Dr. Joann Carson, MDPediatrics, Developmental - Behavioral Pediatrics · NPI 1386675551
- Dr. Kathleen Braden, MDPediatrics, Developmental - Behavioral Pediatrics · NPI 1922192822
- Dr. Robin H Adair, MDPediatrics, Developmental - Behavioral Pediatrics · NPI 1720078124
- Rachel M Vuolo, MDPediatrics, Developmental - Behavioral Pediatrics · NPI 1275689093
Frequently Asked Questions
What is the NPI number of Stephanie L Blenner, MD?
The NPI number of Stephanie L Blenner, MD is 1518946466. It was assigned on January 10, 2006 and is currently active in the NPPES registry.
What is the specialty of Stephanie L Blenner, MD?
Stephanie L Blenner, MD is registered under the primary taxonomy Pediatrics, Developmental - Behavioral Pediatrics (code 2080P0006X), licensed in MA under license number 216795.
Where does Stephanie L Blenner, MD practice?
The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 774-442-3028 (phone) or 774-442-6740 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518946466 directly on the NPPES registry website.