Provider Demographics
NPI:1619258548
Name:SHEARMAN, CHELSEA KAY (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:KAY
Last Name:SHEARMAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MRS
Other - First Name:CHELSEA
Other - Middle Name:KAY
Other - Last Name:ALBRECHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2220 N CAMINO PRINCIPAL STE D
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-5305
Mailing Address - Country:US
Mailing Address - Phone:520-261-3306
Mailing Address - Fax:520-300-8092
Practice Address - Street 1:2220 N CAMINO PRINCIPAL STE D
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-5305
Practice Address - Country:US
Practice Address - Phone:520-261-3306
Practice Address - Fax:520-300-8092
Is Sole Proprietor?:No
Enumeration Date:2011-09-06
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP7456235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ652037Medicaid