Provider Demographics
NPI:1548247778
Name:BLANKENSHIP SANDERS, DEANN ELAINE (MS)
Entity type:Individual
Prefix:MRS
First Name:DEANN
Middle Name:ELAINE
Last Name:BLANKENSHIP SANDERS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 S MAIN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201
Mailing Address - Country:US
Mailing Address - Phone:717-263-7758
Mailing Address - Fax:717-261-1147
Practice Address - Street 1:19 S MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201
Practice Address - Country:US
Practice Address - Phone:717-263-7758
Practice Address - Fax:717-261-1147
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003818101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC003818OtherLPC BUREAU OF PROFESSIONA