Healthcare Provider Details

I. General information

NPI: 1891617106
Provider Name (Legal Business Name): CHELSEY MARIE LONCZAK MA CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHELSEY MARIE CRAIG

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 LAURA LN
HOLYOKE MA
01040-1903
US

IV. Provider business mailing address

29 LAURA LN
HOLYOKE MA
01040-1903
US

V. Phone/Fax

Practice location:
  • Phone: 413-887-1699
  • Fax:
Mailing address:
  • Phone: 413-887-1699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP8793
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: