Healthcare Provider Details

I. General information

NPI: 1790104164
Provider Name (Legal Business Name): CHELSEA SABIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2014
Last Update Date: 04/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

258 OLD LYMAN RD
SOUTH HADLEY MA
01075-2653
US

IV. Provider business mailing address

15 AVALON WAY
SANDY HOOK CT
06482-1661
US

V. Phone/Fax

Practice location:
  • Phone: 413-397-8986
  • Fax:
Mailing address:
  • Phone: 203-313-5005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235500000X
TaxonomySpeech/Language/Hearing Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: