Stephanie L Blenner
M.D. | Developmental - Behavioral Pediatrics | Female
Stephanie L Blenner, M.D. is a Worcester, Massachusetts based Pediatric doctor with medical specialization in
Developmental - Behavioral Pediatrics.
Current practice location of Stephanie L Blenner is
55 Lake Ave N, Worcester, Massachusetts - 01655-0002. She can be contacted on phone at
774-442-3028 and fax number 774-442-6740.
Stephanie L Blenner is a sole proprietor of her business.
NPI number (Unique professional ID) for Stephanie L Blenner is
1518946466 which was assigned by NPPES on 10 Jan, 2006 and it was last updated on 18 Apr, 2017.
Stephanie L Blenner license number is
216795 for Pediatrics Developmental - Behavioral Pediatrics (2080P0006X) in Massachusetts.
Stephanie L Blenner is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
Stephanie L Blenner basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
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| Provider Name : | Stephanie L Blenner |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Stephanie L Blenner address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 55 Lake Ave N
Worcester, MA, 01655-0002
United States |
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| Phone Number : | 774-442-3028 |
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| Fax Number : | 774-442-6740 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1518946466 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Jan, 2006 |
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| Last Updated On : | 18 Apr, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephanie L Blenner are as mentioned. Primary taxonomy code for Stephanie L Blenner, M.D. is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 216795 | MA |
| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | 216795 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Stephanie L Blenner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 110034009A | MEDICAID | MA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 415348
Boston, MA, 02241-5348
United States |
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| Phone Number : | 800-225-8885 |
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| Fax Number : | 508-334-1977 |
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Business Location:
Patients can refer following map for directions to
Stephanie L Blenner practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.