1952788622 NPI number — MS. CHELSEA ANDERSON PH.D., CCC-SLP

Table of content: MS. CHELSEA ANDERSON PH.D., CCC-SLP (NPI 1952788622)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952788622 NPI number — MS. CHELSEA ANDERSON PH.D., CCC-SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ANDERSON
Provider First Name:
CHELSEA
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
PH.D., CCC-SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SPRAGUE
Provider Other First Name:
CHELSEA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1952788622
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/21/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6608 N WESTERN AVE # 1570
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OKLAHOMA CITY
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73116-7326
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-645-0685
Provider Business Mailing Address Fax Number:
572-213-1113

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1612 S CINCINNATI AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TULSA
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74119-4418
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-645-0685
Provider Business Practice Location Address Fax Number:
572-213-1113
Provider Enumeration Date:
05/01/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com