Provider Demographics
NPI:1841583820
Name:KJONO, CHELSEY J (SLP)
Entity Type:Individual
Prefix:MS
First Name:CHELSEY
Middle Name:J
Last Name:KJONO
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:CHELSEY
Other - Middle Name:J
Other - Last Name:PARADIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:2512 S WASHINGTON ST STE C
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-6772
Mailing Address - Country:US
Mailing Address - Phone:701-330-4818
Mailing Address - Fax:701-335-7242
Practice Address - Street 1:2512 S WASHINGTON ST STE C
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201
Practice Address - Country:US
Practice Address - Phone:701-330-4818
Practice Address - Fax:701-335-7242
Is Sole Proprietor?:No
Enumeration Date:2011-05-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN9047235Z00000X
ND1249235Z00000X
NMC-4909235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist