Provider Demographics
NPI:1013178532
Name:JOSEPHINE K. CHEN, M.S., CCC, LLC
Entity Type:Organization
Organization Name:JOSEPHINE K. CHEN, M.S., CCC, LLC
Other - Org Name:CENTER FOR SPEECH AND LANGUAGE PATHOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:K
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:203-869-8272
Mailing Address - Street 1:100 MELROSE AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-6257
Mailing Address - Country:US
Mailing Address - Phone:203-869-8272
Mailing Address - Fax:
Practice Address - Street 1:100 MELROSE AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-6257
Practice Address - Country:US
Practice Address - Phone:203-869-8272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001117235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty