Provider Demographics
NPI:1477802734
Name:BLANCHET, SHANNON K (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:SHANNON
Middle Name:K
Last Name:BLANCHET
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 ALLENCLAIR DR
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-2204
Mailing Address - Country:US
Mailing Address - Phone:603-502-1929
Mailing Address - Fax:
Practice Address - Street 1:8 ALLENCLAIR DR
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-2204
Practice Address - Country:US
Practice Address - Phone:603-502-1929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-02
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MASLP8888235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist