Active NPIIndividual provider

Sophie D Blankenheim, MS, CCC-SLP

Speech-Language Pathologist, in Worcester, Massachusetts

NPI Number1891543138
Practice location
18 Chestnut St Ste 200, Worcester, MA 01608-1557
Fax
—
Last updated
May 10, 2024

Sophie Dawn Blankenheim is a Speech-Language Pathologist, based in Worcester, MA. Sophie Dawn Blankenheim practices in Worcester, MA and has the professional credentials of MS, CCC-SLP. The NPI Number for Sophie Dawn Blankenheim is 1891543138 and holds a License No. SLP100514 (MA). The current practice location address for Sophie Dawn Blankenheim is 18 Chestnut St Ste 200, Worcester, MA 01608-1557 and can be reached out via phone at 508-757-2756.

Provider Profile Details

NPI Number
1891543138
Provider Name
Sophie Dawn Blankenheim
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
18 Chestnut St Ste 200, Worcester, MA 01608-1557
Phone Number
508-757-2756
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
May 10, 2024
Last Update Date
May 10, 2024
Certification Date
May 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
18 Chestnut St Ste 200
Worcester, MA 01608-1557
Zip
01608-1557
Phone Number
508-757-2756
Worcester, MA 01608Get directions →

Provider Business Mailing Address Details

Address
18 Chestnut St Ste 200
Worcester, MA 01608-1557
City
Worcester
State
MA
Zip
01608-1557
Phone Number
508-757-2756

License Information

License Number
SLP100514
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sophie D Blankenheim, MS, CCC-SLP?

The NPI number of Sophie D Blankenheim, MS, CCC-SLP is 1891543138. It was assigned on May 10, 2024 and is currently active in the NPPES registry.

What is the specialty of Sophie D Blankenheim, MS, CCC-SLP?

Sophie D Blankenheim, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number SLP100514.

Where does Sophie D Blankenheim, MS, CCC-SLP practice?

The practice location is 18 Chestnut St Ste 200, Worcester, MA 01608-1557. The office can be reached at 508-757-2756 (phone).

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 1891543138 directly on the NPPES registry website.

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