Basic Information
| Provider Information | |||||||||
| NPI: | 1740615269 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | COMPEAU | ||||||||
| FirstName: | CHELSEY | ||||||||
| MiddleName: | ANNETTE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | M.A. SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1313 FISKE RD | ||||||||
| Address2: | |||||||||
| City: | CHAZY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 129212034 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5185782902 | ||||||||
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| Practice Location | |||||||||
| Address1: | 22 NEW YORK RD | ||||||||
| Address2: | |||||||||
| City: | PLATTSBURGH | ||||||||
| State: | NY | ||||||||
| PostalCode: | 129033981 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5185613803 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/04/2013 | ||||||||
| LastUpdateDate: | 09/04/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 023197 | NY | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.