Regina Chancellor
Individual provider Active NPI Speech-Language Pathologist · Talladega, AL
NPI 1700932209 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1700932209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1122 (AL)
- Practice address
- 205 South St E
Talladega, AL 35160-2411 - Phone
- (256) 761-3303
- Fax
- (256) 761-3485
- NPI assigned
- Jan 26, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1122 | AL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1122 | AL | Yes |
Addresses
Primary practice location
205 South St E
Talladega, AL 35160-2411
Mailing address
205 South St E
Talladega, AL 35160-2411
Phone (256) 761-3303
Other providers in Talladega, AL
- Kameron C. Carden
- Cardiovascular Associates of N. Alabama, P.C.
- Holli Casey
- Cassie Medical Training Services LLC
- Teresa Caudle
- Corinne Chapman
- Cheaha Eye Associates PC
- Citizens Baptist Medical Center
- Citizens Baptist Medical Center
- Citizens Baptist Medical Center
All providers in Talladega, AL · Speech-Language Pathologist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. 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.