Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Blankenship, MCD, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1275928996

Jacqueline Blankenship, MCD, CCC-SLP is a Speech-Language Pathologist in Riverview, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2015
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

8451 US Highway 301 S
Riverview, FL 33578-5441
Phone: (866) 450-9927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA6528 (FL)

Record details

NPI number1275928996
Entity typeIndividual (Type 1)
GenderFemale
Credentials MCD , CCC-SLP
Sole proprietorYes
NPI enumeratedMarch 31, 2015
Last updated in NPPESMarch 31, 2015

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