Mary Kay Chesley, M.A.- CCC-SP
Individual provider Active NPI Speech-Language Pathologist · Rifle, CO
NPI 1134448707 · NPPES record last updated May 21, 2010
Key facts
- NPI
- 1134448707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 0444350 (CO)
- Practice address
- 1217 Fir Ave
Rifle, CO 81650-2105 - Phone
- (970) 625-5144
- NPI assigned
- May 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0444350 | CO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0444350 | CO | Yes |
Addresses
Primary practice location
1217 Fir Ave
Rifle, CO 81650-2105
Mailing address
1217 Fir Ave
Rifle, CO 81650-2105
Phone (970) 625-5144
Other providers in Rifle, CO
- Elizabeth Eden Casner
- Chad D Burgess DDS PC
- Andrew Chapman
- Blythe E Chapman
- Amanda Chenoweth
- Dayle Lynn Christensen
- Clifford B Cappelli DMD PC
- Dustin M Cole
- Kevin Wendell Coleman
- Elizabeth Colin
All providers in Rifle, CO · Speech-Language Pathologist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.