Provider Demographics
NPI:1497996607
Name:CHIDSEY, ANNE M
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:M
Last Name:CHIDSEY
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 1:2590 NORTHBROOKE PLAZA DR
Mailing Address - Street 2:UNIT 107
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-8100
Mailing Address - Country:US
Mailing Address - Phone:239-653-9586
Mailing Address - Fax:
Practice Address - Street 1:2590 NORTHBROOKE PLAZA DR
Practice Address - Street 2:UNIT 107
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-8100
Practice Address - Country:US
Practice Address - Phone:239-653-9586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA2830235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist