Cecilia Chandler
Individual provider Active NPI Speech-Language Pathologist · Ketchikan, AK
NPI 1720519663 · NPPES record last updated Mar 22, 2017
Key facts
- NPI
- 1720519663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP024 (AK)
- Practice address
- 721 Stedman St
Ketchikan, AK 99901-6632 - Phone
- (907) 225-7825
- NPI assigned
- Mar 22, 2017
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP024 | AK | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP024 | AK | Yes |
Addresses
Primary practice location
721 Stedman St
Ketchikan, AK 99901-6632
Mailing address
11 Lode LN
Ketchikan, AK 99901-9616
Phone (907) 225-1174
Other providers in Ketchikan, AK
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- Jamie Marie Charles
- Chelsea Youmans, FNP LLC
- Victor Chen
- Kelly M Chick
- Alan L Christensen
All providers in Ketchikan, AK · Speech-Language Pathologist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2017. 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.