Provider Demographics
NPI:1982335576
Name:BLANCHARD, TESSIE M (AUDIOLOGIST)
Entity type:Individual
Prefix:
First Name:TESSIE
Middle Name:M
Last Name:BLANCHARD
Suffix:
Gender:F
Credentials:AUDIOLOGIST
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Other - Credentials:
Mailing Address - Street 1:604 N ACADIA RD STE 101
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-4897
Mailing Address - Country:US
Mailing Address - Phone:985-446-5079
Mailing Address - Fax:985-447-2497
Practice Address - Street 1:2308 E MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-4041
Practice Address - Country:US
Practice Address - Phone:337-369-3683
Practice Address - Fax:228-385-7610
Is Sole Proprietor?:No
Enumeration Date:2022-06-23
Last Update Date:2024-12-17
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist