MEDICARE: CHELSEY ANDREASEN M.S. CCC-RPE

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	14409	CA

General Provider Information

NPI Number	:	1821686262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEY ANDREASEN M.S. CCC-RPE

Provider Business Mailing Address
First Line	:	1601 NEW STINE RD STE 100
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93309-3698
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 NEW STINE RD STE 100
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93309-3698
Country	:	US
Telephone Number	:	323-426-6402
Fax Number	:

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

Provider Enumeration Date	:	12/31/2020
Last Update Date	:	12/31/2020

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Directions to “ CHELSEY ANDREASEN M.S. CCC-RPE” Practice Location

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