MEDICARE: CHELSEA MARIE ROSE MS, 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	SP.16117	OH
2	235Z00000X	Speech-Language Pathologist	TSLP14187	AZ

General Provider Information

NPI Number	:	1558072652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA MARIE ROSE MS, CF-SLP

Provider Business Mailing Address
First Line	:	2082 ROLLINGRIDGE LN
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-3207
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 WASHINGTON AVE
Second Line	:
City	:	SAINT BERNARD
State	:	OH
Zip	:	45217-1317
Country	:	US
Telephone Number	:	513-482-7115
Fax Number	:

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

Provider Enumeration Date	:	12/09/2022
Last Update Date	:	09/12/2025

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