Provider Demographics
NPI:1114415106
Name:FREEMAN, CHELSEA (AUD)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 WAYNE ST STE 2
Mailing Address - Street 2:
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-2355
Mailing Address - Country:US
Mailing Address - Phone:716-790-1819
Mailing Address - Fax:716-790-8052
Practice Address - Street 1:610 WAYNE ST STE 2
Practice Address - Street 2:
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-2355
Practice Address - Country:US
Practice Address - Phone:716-790-8480
Practice Address - Fax:716-798-8052
Is Sole Proprietor?:No
Enumeration Date:2018-04-25
Last Update Date:2023-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
231H00000X
PAAT006726237600000X
NY002851237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist