Mary Elizabeth Blondin, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0772 Issued in KY

Practice address

2212 Outer Circle Dr
Crestwood, KY 40014-9113

Phone

(502) 836-0701

Fax

(502) 243-9848

NPI assigned

Aug 31, 2010

Last updated

Aug 31, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1154637924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 MORGAN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131722",
            "telephone_number": "502-592-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 OUTER CIRCLE DR",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400149113",
            "telephone_number": "502-836-0701",
            "fax_number": "502-243-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLONDIN",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "0772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria F Bechard, CCC-SLP
• Benchmark Physical Therapy of Ky, LLC
• Erin Renee Berg, M.S.,CCC-SLP
• Kristen Black, MSOT, OTR/L
• Bryan M Blair, MD
• Jennifer Bogard, LIC PSY PRACTITIONER
• Robert Brian Boggs, RPH
• Kari Marie Bradley, BCBA
• Christine H Brown, SLP
• Rodney Sidney Brown, D.C.

• Speech-Language Pathologist in Crestwood, KY
• Providers in Crestwood, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.