Healthcare Provider Details

I. General information

NPI: 1235076597
Provider Name (Legal Business Name): CHELSEA RAFETTO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 TOWN BANK RD
CAPE MAY NJ
08204-4411
US

IV. Provider business mailing address

721 ANN DR APT SUITE
KENNETT SQUARE PA
19348-1552
US

V. Phone/Fax

Practice location:
  • Phone: 609-898-8899
  • Fax:
Mailing address:
  • Phone: 484-643-2447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number41YS01383800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: