Tessa Mary Chambers, SLP CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL004619L Issued in PA

Practice address

80 Old New Salem Rd
Arc Fayette
Uniontown, PA 15401

Phone

(724) 438-8416

Fax

(724) 438-2405

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Arc, Fayette County

  • Occupational Therapist
  • Uniontown, PA
  • NPI 1609961283

  Speech-Language Pathologist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073734992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "BRUCETON MILLS",
            "state": "WV",
            "postal_code": "26525",
            "telephone_number": "304-379-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 OLD NEW SALEM RD",
            "address_2": "ARC FAYETTE",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "15401",
            "telephone_number": "724-438-8416",
            "fax_number": "724-438-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "TESSA",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "SLP CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL004619L",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP1010",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0153478000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CGH Medical Services PLLC
• Joseph Eric Chadwick II, M.D.
• Jennifer Chaikcic, CRNP
• John C. Chalfant, M.D.
• Eric C Chamberlin, M.D.
• Serena Chapman
• Charles R. Venneri, D.M.D.
• Elizabeth Chatlas, MS
• Jennifer Check, DMD
• Cherry Tree Chiropractic

• Speech-Language Pathologist in Uniontown, PA
• Providers in Uniontown, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.