Chantel Maxwell

Individual provider Active NPI Speech-Language Pathologist · Windber, PA

NPI 1972050227 · NPPES record last updated Sep 3, 2016

Key facts

NPI
1972050227
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SL005150L (PA)
Practice address
126 Old Luther St
Windber, PA 15963-8284
Phone
(814) 242-4744
NPI assigned
Sep 3, 2016
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

LicenseStateTypeSpecialty
SL005150LPAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL005150L PA Yes

Addresses

Primary practice location

126 Old Luther St
Windber, PA 15963-8284

Mailing address

126 Old Luther St
Windber, PA 15963-8284
Phone (814) 242-4744

Other providers in Windber, PA

All providers in Windber, PA · Speech-Language Pathologist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.