Provider Demographics
NPI:1407375413
Name:FIELDS, CHELSEA LEIGH (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:LEIGH
Last Name:FIELDS
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:LEIGH
Other - Last Name:SIMPKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:LOGAN CENTER 55 LMMH CENTER RD.
Mailing Address - Street 2:
Mailing Address - City:STOLLINGS
Mailing Address - State:WV
Mailing Address - Zip Code:25646
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:LOGAN CENTER 55 LMMH CENTER RD.
Practice Address - Street 2:
Practice Address - City:STOLLINGS
Practice Address - State:WV
Practice Address - Zip Code:25646
Practice Address - Country:US
Practice Address - Phone:304-752-2273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-12
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV0705235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist