Provider Demographics
NPI:1053207183
Name:BLANKENSHIP, CHELSEA VICTORIA (EDS)
Entity type:Individual
Prefix:MS
First Name:CHELSEA
Middle Name:VICTORIA
Last Name:BLANKENSHIP
Suffix:
Gender:F
Credentials:EDS
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:VICTORIA
Other - Last Name:GREER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:250 PAWTUCKET BLVD
Mailing Address - Street 2:
Mailing Address - City:TYNGSBORO
Mailing Address - State:MA
Mailing Address - Zip Code:01879-2214
Mailing Address - Country:US
Mailing Address - Phone:978-454-5411
Mailing Address - Fax:
Practice Address - Street 1:250 PAWTUCKET BLVD
Practice Address - Street 2:
Practice Address - City:TYNGSBORO
Practice Address - State:MA
Practice Address - Zip Code:01879-2214
Practice Address - Country:US
Practice Address - Phone:978-454-5411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program