National Provider Identifier Database

STEPHANIE L BLENNER, MD – NPI #1518946466
Developmental - Behavioral Pediatrics

A developmental-behavioral specialist 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.


Contact Information

STEPHANIE L BLENNER, MD
55 LAKE AVE N
WORCESTER, MA01655-0002
Phone: 774-442-3028
Fax: 774-442-6740
Website:
Specialty Taxonomy Code
* Developmental - Behavioral Pediatrics 2080P0006X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for STEPHANIE L BLENNER

NPI Number 1518946466
Credentials MD
Entity Individual
Enumeration date 01/10/2006
Last updated 04/18/2017 - About 9 years ago
Sole proprietor1 No
Identifiers
  • MA License #: 216795
  • MA Medicaid: 110034009A
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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