Chanda Brooke Canalis, M.ED. CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP006471 Issued in GA

Practice address

775 Sunset Dr
Athens, GA 30606-2211

Phone

(706) 425-1543

Fax

(706) 425-1553

NPI assigned

Jan 2, 2012

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 Education

State licenses

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325462400000",
    "number": "1881964302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 SUNSET DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062211",
            "telephone_number": "706-425-1543",
            "fax_number": "706-425-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 SUNSET DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062211",
            "telephone_number": "706-425-1543",
            "fax_number": "706-425-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANALIS",
        "first_name": "CHANDA",
        "middle_name": "BROOKE",
        "name_prefix": "Ms.",
        "credential": "M.ED. CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-02",
        "last_updated": "2012-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Frye Campbell, PSYCHOLOGIST
• Millie Campbell
• Paige Campbell, LCSW
• Richard D Campbell, M.D.
• Theodore Hodges Campbell IV
• Jose Lucas Cangiano, M.D.
• Sara Danielle Cannington, NP-C
• Alan Cannon
• Robert Minnick Cannon, M.D.
• Grant Michael Capps, MD

• Speech-Language Pathologist in Athens, GA
• Providers in Athens, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; 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.