MEDICARE: CHANDLER DENISE DOTSON M.S. CF-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

General Provider Information

NPI Number	:	1508430232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHANDLER DENISE DOTSON M.S. CF-SLP

Provider Business Mailing Address
First Line	:	316 16TH ST APT 12
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-4277
Country	:	US
Telephone Number	:	912-663-2410
Fax Number	:

Provider Business Practice Location Address
First Line	:	18017 SKY PARK CIR STE G
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92614-6578
Country	:	US
Telephone Number	:	949-336-6659
Fax Number	:

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

Provider Enumeration Date	:	05/17/2021
Last Update Date	:	11/19/2025

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