Provider Demographics
NPI:1497181655
Name:CHAMBERS, NANCY CAROLYN
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:CAROLYN
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:C
Other - Last Name:HOECH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP, CCC-SP/L
Mailing Address - Street 1:1717 E BEACON AVE
Mailing Address - Street 2:
Mailing Address - City:MONTESANO
Mailing Address - State:WA
Mailing Address - Zip Code:98563-9755
Mailing Address - Country:US
Mailing Address - Phone:360-249-1860
Mailing Address - Fax:360-249-2116
Practice Address - Street 1:1717 E BEACON AVE
Practice Address - Street 2:
Practice Address - City:MONTESANO
Practice Address - State:WA
Practice Address - Zip Code:98563-9755
Practice Address - Country:US
Practice Address - Phone:360-249-1860
Practice Address - Fax:360-249-3884
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL 60375595235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist