NPI Code Details Logo

NPI 1558072652

NPI 1558072652 : CHELSEA MARIE ROSE MS, CF-SLP : SAINT BERNARD, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1558072652
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CHELSEA MARIE ROSE MS, CF-SLP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/09/2022
-----------------------------------------------------
    Last Update Date     |    09/12/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    105 WASHINGTON AVE 
-----------------------------------------------------
    City                 |    SAINT BERNARD
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    45217-1317
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    513-482-7115
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2082 ROLLINGRIDGE LN 
-----------------------------------------------------
    City                 |    CINCINNATI
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    45238-3207
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    235Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Pathologist
-----------------------------------------------------
    License Number       |    SP.16117
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    235Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Pathologist
-----------------------------------------------------
    License Number       |    TSLP14187
-----------------------------------------------------
    License Number State |    AZ
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.