Provider Demographics
NPI:1619388733
Name:BACHMAN, CHELSEA (MED)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:BACHMAN
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 ALLISTER DR
Mailing Address - Street 2:UNIT 103
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7257
Mailing Address - Country:US
Mailing Address - Phone:513-515-1243
Mailing Address - Fax:
Practice Address - Street 1:3803B COMPUTER DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6541
Practice Address - Country:US
Practice Address - Phone:919-791-3582
Practice Address - Fax:919-791-3583
Is Sole Proprietor?:No
Enumeration Date:2014-05-12
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10859235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist