Provider Demographics
NPI:1497450571
Name:LABELLA, CHLOE EVAN
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:EVAN
Last Name:LABELLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 GREENWOOD PL
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-5314
Mailing Address - Country:US
Mailing Address - Phone:732-865-1524
Mailing Address - Fax:
Practice Address - Street 1:16 W RIVER RD STE 3
Practice Address - Street 2:
Practice Address - City:RUMSON
Practice Address - State:NJ
Practice Address - Zip Code:07760-1437
Practice Address - Country:US
Practice Address - Phone:732-352-9339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJ41YS00910700235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist