Most Relevant Information
Provider Data
| NPI Number: | 1003231333 |
| Provider Name: | CHELSEA HEASTER |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SLP- 1515 |
Most Important Dates
| Enumeration Date: | 02/24/2014 |
| Last Updated: | 02/24/2014 |
Provider Practice Location
1000 MAPLEWOOD DR
BRIDGEPORT
WV
263309115
Practice Location Phone/Fax
| Phone: | 3049333338 |
| Fax: |
Provider Mailing Location
1000 MAPLEWOOD DR
BRIDGEPORT
WV
263309115
Provider Mailing Phone/Fax
| Phone: | 3049333338 |
| Fax: |