MEDICARE: VICTORIA LENORE BLEVINS MS CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	5535	TN
2	235Z00000X	Speech-Language Pathologist	2202004980	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134346075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA LENORE BLEVINS MS CCC-SLP

Provider Business Mailing Address
First Line	:	347 OAKLAND ST SW
Second Line	:
City	:	ABINGDON
State	:	VA
Zip	:	24210-3213
Country	:	US
Telephone Number	:	571-225-1908
Fax Number	:	276-783-7555

Provider Business Practice Location Address
First Line	:	347 OAKLAND ST SW
Second Line	:
City	:	ABINGDON
State	:	VA
Zip	:	24210-3213
Country	:	US
Telephone Number	:	571-225-1908
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2007
Last Update Date	:	09/10/2025

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