Healthcare Provider Details

I. General information

NPI: 1174951008
Provider Name (Legal Business Name): SANDI BLEVINS MA, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2013
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5246 E US 70 HWY
CATAWBA NC
28609-8126
US

IV. Provider business mailing address

5246 E US 70 HWY
CATAWBA NC
28609-8126
US

V. Phone/Fax

Practice location:
  • Phone: 828-490-1696
  • Fax:
Mailing address:
  • Phone: 828-490-1696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7857
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: