Provider Demographics
NPI:1407102437
Name:CHEN, TERESA (MS IN SLP)
Entity Type:Individual
Prefix:MISS
First Name:TERESA
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:MS IN SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16302 71ST AVE
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-4207
Mailing Address - Country:US
Mailing Address - Phone:646-436-4383
Mailing Address - Fax:
Practice Address - Street 1:16302 71ST AVE
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-4207
Practice Address - Country:US
Practice Address - Phone:646-436-4383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-27
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist