Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sophie Dawn Blankenheim, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1891543138

Sophie Dawn Blankenheim, MS, CCC-SLP is a Speech-Language Pathologist in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2024.

Licensed in
MA
In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

18 Chestnut St Ste 200
Worcester, MA 01608-1557
Phone: (508) 757-2756
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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 SLP100514 (MA)

Record details

NPI number1891543138
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedMay 10, 2024
Last updated in NPPESMay 10, 2024
Certification dateMay 9, 2024

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