Provider Demographics
NPI:1952639627
Name:TAMY S CHELST PHD
Entity Type:Organization
Organization Name:TAMY S CHELST PHD
Other - Org Name:HEARING MANAGEMENT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMY
Authorized Official - Middle Name:S
Authorized Official - Last Name:CHELST
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:248-910-6603
Mailing Address - Street 1:22536 N BELLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-2115
Mailing Address - Country:US
Mailing Address - Phone:248-910-6603
Mailing Address - Fax:248-353-2268
Practice Address - Street 1:22536 N BELLWOOD DR
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-2115
Practice Address - Country:US
Practice Address - Phone:248-910-6603
Practice Address - Fax:248-353-2268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-18
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000156237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI904896943Medicaid