Carrie Beth Blankenship, MS CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Georgetown, KY
NPI 1467086199 · NPPES record last updated Mar 3, 2020
Key facts
- NPI
- 1467086199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2353 (KY)
- Practice address
- 127 Kingston Dr
Georgetown, KY 40324-8500 - Phone
- (859) 684-7837
- NPI assigned
- Mar 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2353 | KY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall Pediatric Therapy, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2353 | KY | Yes |
Addresses
Primary practice location
127 Kingston Dr
Georgetown, KY 40324-8500
Mailing address
127 Kingston Dr
Georgetown, KY 40324-8500
Phone (859) 684-7837
Other names
- Mrs. Beth Blankenship
Other providers in Georgetown, KY
- Amanda Jane Beverly
- Jairus Bibb
- Matthew C Birdwhistell
- John W Black Jr.
- Matthew Blake
- Angie Michele Blanton
- Peyton Madison Blanton
- Kelsey Blau
- Allison Claire-Marie Blevins
- Bliss Behaviorall Health
All providers in Georgetown, KY · Speech-Language Pathologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.