Doctor Name: | CHELSEA G WITTEN |
NPI Number: | 1265864649 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | SA11136 |
Business Practice Address: | 11512 Lake Mead Ave Jacksonville, FL - 322569680 |
Business Phone Number: | 9046525408 |
Business Fax Number: | |
Mailing Address: | 2121 Grassy Basin Ct, JACKSONVILLE |
State: | FL |
Postal Code: | 322241371 |
Phone Number: | 9046137496 |
Fax Number: | |
NPI Enumeration Date: | 08/07/2013 |
NPI Last Update Date: | 08/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA11136 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |