Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mechelle Renae Blandeburgo, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1699959254

Mrs. Mechelle Renae Blandeburgo, CCC-SLP is a Qualified Speech Language Pathologist in Wilmington, Delaware. Qualified in 1996, 30 years ago. Practices with Fox Rehabilitation Services Inc, a 1,155-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
30
Licensed in
DE
In the registry since
2007
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

701 Foulk Rd Ste 2A
Wilmington, DE 19803-3733
Phone: (877) 407-3422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 — (610) 834-1122

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 01-0000688 (DE)

Record details

NPI number1699959254
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedDecember 19, 2007
Last updated in NPPESDecember 24, 2024
Certification dateDecember 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Fox Rehabilitation Services Inc — 1155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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