MEDICARE: CHELSEA FIELD

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

General Provider Information

NPI Number	:	1336811785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA FIELD

Provider Business Mailing Address
First Line	:	155 VIOLET
Second Line	:
City	:	LIVINGSTON
State	:	TX
Zip	:	77351-4753
Country	:	US
Telephone Number	:	832-315-1624
Fax Number	:

Provider Business Practice Location Address
First Line	:	14210 TX 150 WEST
Second Line	:
City	:	COLDSPRING
State	:	TX
Zip	:	77331
Country	:	US
Telephone Number	:	936-653-1193
Fax Number	:

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

Provider Enumeration Date	:	10/04/2021
Last Update Date	:	10/04/2021

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Directions to “ CHELSEA FIELD ” Practice Location

Language	Start Address	Practice Location

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