Provider Demographics
NPI:1902020886
Name:CHANDLER, JANE ELIZABETH (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:ELIZABETH
Last Name:CHANDLER
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Gender:F
Credentials:MA, CCC-SLP
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Mailing Address - Street 1:6099 WAYZATA BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-5538
Mailing Address - Country:US
Mailing Address - Phone:952-236-1692
Mailing Address - Fax:
Practice Address - Street 1:6099 WAYZATA BLVD STE 200
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-5538
Practice Address - Country:US
Practice Address - Phone:612-871-1144
Practice Address - Fax:952-993-1250
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN7303235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist