Provider Demographics
NPI:1215549159
Name:ALCALA, CHELSEA LEANNE (SLP-CF)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:LEANNE
Last Name:ALCALA
Suffix:
Gender:F
Credentials:SLP-CF
Other - Prefix:MRS
Other - First Name:CHELSEA
Other - Middle Name:LEANNE
Other - Last Name:ALCALA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SLP-CF
Mailing Address - Street 1:1209 PALMER RD APT 4
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-7173
Mailing Address - Country:US
Mailing Address - Phone:832-818-1907
Mailing Address - Fax:
Practice Address - Street 1:5980 RADIO STATION RD
Practice Address - Street 2:
Practice Address - City:LA PLATA
Practice Address - State:MD
Practice Address - Zip Code:20646-3337
Practice Address - Country:US
Practice Address - Phone:301-932-6610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-21
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist