Provider Demographics
NPI:1154660405
Name:CHEN, CHEYANNE PI LING (SLP)
Entity Type:Individual
Prefix:
First Name:CHEYANNE
Middle Name:PI LING
Last Name:CHEN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:CHEYANNE
Other - Middle Name:
Other - Last Name:CHEN-JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SLP
Mailing Address - Street 1:6059 BRISTOL PKWY
Mailing Address - Street 2:#100
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-6663
Mailing Address - Country:US
Mailing Address - Phone:866-278-1520
Mailing Address - Fax:
Practice Address - Street 1:6059 BRISTOL PKWY
Practice Address - Street 2:#100
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-6663
Practice Address - Country:US
Practice Address - Phone:866-278-1520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP 20476235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist