Provider Demographics
NPI:1225271729
Name:BELL, CHELSEA KI SOOK CLOCK (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:KI SOOK CLOCK
Last Name:BELL
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 E 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-6321
Mailing Address - Country:US
Mailing Address - Phone:719-331-1743
Mailing Address - Fax:
Practice Address - Street 1:5000 E 2ND AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-6321
Practice Address - Country:US
Practice Address - Phone:720-588-8705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-13
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO235Z00000X
COSLP.0001409235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist