Provider Demographics
NPI:1245764158
Name:CHINGAS, ADELLE (MA CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:ADELLE
Middle Name:
Last Name:CHINGAS
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 1:50 BROOKSIDE DR
Mailing Address - Street 2:APT O2
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-1649
Mailing Address - Country:US
Mailing Address - Phone:508-815-9188
Mailing Address - Fax:
Practice Address - Street 1:144 NEWBURYPORT TPKE
Practice Address - Street 2:SUITE A8
Practice Address - City:ROWLEY
Practice Address - State:MA
Practice Address - Zip Code:01969-2132
Practice Address - Country:US
Practice Address - Phone:603-918-1298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-18
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA76406235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist