Chara Powers Celano, M.A.CCC,SLP

Individual provider Active NPI Speech-Language Pathologist · Crystal River, FL

NPI 1295871580 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1295871580
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SA8543 (FL)
Practice address
7647 W Gulf to Lake Hwy Ste 4
Crystal River, FL 34429-7800
Phone
(352) 795-4181
Fax
(352) 795-7981
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SA8543FLMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA8543 FL Yes

Addresses

Primary practice location

7647 W Gulf to Lake Hwy Ste 4
Crystal River, FL 34429-7800

Mailing address

5252 S Atwood Ter
Inverness, FL 34452-8108

Other identifiers

IdentifierTypeStateIssuer
890167800MedicaidFL

Other providers in Crystal River, FL

All providers in Crystal River, FL · Speech-Language Pathologist in Florida

Sources for this page

Verify at the official NPI Registry.