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NPI Code Detail

MEDICARE: CHELSEA DEAN

MEDICARE:   CHELSEA  DEAN
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
1222Q00000XDevelopmental TherapistR350-116-92-710-0FL
2101YM0800XMental Health CounselorMH18379FL

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 : 1134543887
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA DEAN
Provider Business Mailing Address
First Line : 4301 N FEDERAL HWY STE 2
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33064-6519
Country : US
Telephone Number : 888-880-9270
Fax Number :
Provider Business Practice Location Address
First Line : 2230 VENETIAN CT STE 1
Second Line :
City : NAPLES
State : FL
Zip : 34109-8727
Country : US
Telephone Number : 239-223-2751
Fax Number : 239-561-2933
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2014
Last Update Date : 09/23/2020

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Directions to “ CHELSEA DEAN ” Practice Location

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