MEDICARE: SERENA RACHEL CHEE MS, 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	2355S0801X	Speech-Language Assistant	SLPA9698	AZ
2	235Z00000X	Speech-Language Pathologist	14130621	CO

General Provider Information

NPI Number	:	1316305709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SERENA RACHEL CHEE MS, CCC-SLP

Provider Business Mailing Address
First Line	:	2129 TROY CT
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-7836
Country	:	US
Telephone Number	:	602-617-7768
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 N INSTITUTE ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-3508
Country	:	US
Telephone Number	:	719-327-4031
Fax Number	:

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

Provider Enumeration Date	:	02/01/2016
Last Update Date	:	11/09/2023

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