Chantal Whiteduck, M.S., CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

PSL001344 Issued in PA

Practice address

25 West St
Tunkhannock, PA 18657-1405

Phone

(570) 996-6200

NPI assigned

Aug 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Pivot Physical Therapy of Pennsylvania, LLC

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  • South Abington Township, PA
  • NPI 1881132488

  Speech-Language Pathologist

  NPD
• Procare Physical Therapy Inc

  • Physical Therapist
  • Towanda, PA
  • NPI 1003876319
  NPD (past)

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1154933711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 PANCOAST ST",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WEST ST",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186571405",
            "telephone_number": "570-996-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEDUCK",
        "first_name": "CHANTAL",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "PSL001344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vision Innovation Centers of Pennsylvania LLC
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Weis Markets, Inc.
• Gehred D Wetzel, DO
• Charles P Whitling, O.D.
• Wilkes Barre Behavioral Hospital Company LLC
• Wilkes Barre Behavioral Hospital Company LLC
• Williams Primary Care PC
• Daniel C Williams, MD

• All providers in Tunkhannock, PA
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.