Karly Marie Chasney, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101005974 Issued in MI

Practice address

205 W Square Lake Rd
Troy, MI 48098-2931

Phone

(248) 823-4000

NPI assigned

Jan 11, 2020

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1578700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578700800000",
    "number": "1629618236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40701 RAY DR",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480383098",
            "telephone_number": "586-292-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W SQUARE LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480982931",
            "telephone_number": "248-823-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44738 Morley Dr",
            "address_purpose": "LOCATION",
            "city": "Clinton Twp",
            "state": "MI",
            "postal_code": "480361357",
            "country_code": "US",
            "telephone_number": "586-421-4062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHASNEY",
        "first_name": "KARLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-11",
        "last_updated": "2020-01-11",
        "certification_date": "2020-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Liioi Hartzell, M.D., P.C.
• Dennis George Charnesky, DDS
• Jacob Ryan Chase, DPT
• Mary Kathryn Chase, NP
• David Chasney, PT, DPT
• Kanchan M Chatarkar
• Khaula Chaudhry, DMD
• Sasha Chavez
• Taibi Chbihi, PA-C
• Mingxin Che, MD

• Speech-Language Pathologist in Troy, MI
• Providers in Troy, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.