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NPI Code Detail

MEDICARE: CHELSEY ANNE CONNOR M.A. CCC-SLP

MEDICARE:   CHELSEY ANNE CONNOR  M.A. CCC-SLP
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
1235Z00000XSpeech-Language PathologistSP. 11478OH
2235Z00000XSpeech-Language Pathologist7101002832MI

General Provider Information

NPI Number : 1164878096
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEY ANNE CONNOR M.A. CCC-SLP
Provider Business Mailing Address
First Line : 4645 LEWIS AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43612-2336
Country : US
Telephone Number : 419-478-5131
Fax Number :
Provider Business Practice Location Address
First Line : 4645 LEWIS AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43612-2336
Country : US
Telephone Number : 419-478-5131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2016
Last Update Date : 05/10/2016

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Directions to “ CHELSEY ANNE CONNOR M.A. CCC-SLP” Practice Location

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