Provider Demographics
NPI:1922350610
Name:BLANCHARD, ENID K (MA)
Entity Type:Individual
Prefix:MS
First Name:ENID
Middle Name:K
Last Name:BLANCHARD
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 CLOCKTOWER DR UNIT 4409
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02452-7877
Mailing Address - Country:US
Mailing Address - Phone:781-956-2078
Mailing Address - Fax:
Practice Address - Street 1:24 UNION AVE STE 11
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-8287
Practice Address - Country:US
Practice Address - Phone:508-620-2992
Practice Address - Fax:508-620-2993
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-05
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health