MEDICARE: MRS. CHARA POWERS CELANO 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
1	235Z00000X	Speech-Language Pathologist	SA8543	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295871580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHARA POWERS CELANO M.A.CCC,SLP

Provider Business Mailing Address
First Line	:	5252 S ATWOOD TER
Second Line	:
City	:	INVERNESS
State	:	FL
Zip	:	34452-8108
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7647 W GULF TO LAKE HWY STE 4
Second Line	:
City	:	CRYSTAL RIVER
State	:	FL
Zip	:	34429-7800
Country	:	US
Telephone Number	:	352-795-4181
Fax Number	:	352-795-7981

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	07/08/2007

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