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NPI Code Detail

MEDICARE: CHLOE CALENZO

MEDICARE: CHLOE CALENZO
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
1235Z00000XSpeech-Language Pathologist

Other Identifiers

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

General Provider Information

NPI Number : 1881045037
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHLOE CALENZO
Provider Business Mailing Address
First Line : 6239 S EAST ST STE G
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-2088
Country : US
Telephone Number : 317-561-1888
Fax Number : 317-791-9001
Provider Business Practice Location Address
First Line : 6239 S EAST ST STE G
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-2088
Country : US
Telephone Number : 317-561-1888
Fax Number : 317-791-9001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2016
Last Update Date : 04/21/2020

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Directions to “ CHLOE CALENZO ” Practice Location

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