Alice Chandler, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Bunnell, FL
NPI 1922575893 · NPPES record last updated Oct 30, 2018
Key facts
- NPI
- 1922575893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SA10130 (FL)
- Practice address
- 300 Dr Carter Blvd
Bunnell, FL 32110-6211 - Phone
- (386) 437-4168
- NPI assigned
- Oct 30, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190204000695 | FL | Practitioner - Qualified Speech Language Pathologist | 5496092132 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ap Therapy LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Ap Therapy LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Rehabcare Group East, LLC | Past | Accepting new patients |
Locations
1297 US Highway 27 N
Lake Placid, FL 33852
Phone (407) 276-5023
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA10130 | FL | Yes |
Addresses
Primary practice location
300 Dr Carter Blvd
Bunnell, FL 32110-6211
Mailing address
300 Dr Carter Blvd
Bunnell, FL 32110-6211
Phone (386) 437-4168
Other providers in Bunnell, FL
- Bunnell Medical Center Inc
- Bunnell Pharmacy Inc
- Carlisi Chiropractic Center Inc.
- Roy Carlisi
- Chance 2 Change
- Valerie Jean Christie
- Clarke in-Home Senior Care LLC
- Daniel Dalton Cody
- Ashlee Coleman
- Amy L. Coopersmith
All providers in Bunnell, FL · Speech-Language Pathologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.