Healthcare Provider Details

I. General information

NPI: 1295663862
Provider Name (Legal Business Name): CORINNE ELIZABETH BLANCHETTE MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 WINSHIP ST APT 2
BOSTON MA
02135-3311
US

IV. Provider business mailing address

7 WINSHIP ST APT 2
BOSTON MA
02135-3311
US

V. Phone/Fax

Practice location:
  • Phone: 860-384-0859
  • Fax:
Mailing address:
  • Phone: 860-384-0859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP100557
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: