Provider Demographics
NPI:1184420812
Name:HENDEN, CHELSIE ANNE (SLPA)
Entity type:Individual
Prefix:
First Name:CHELSIE
Middle Name:ANNE
Last Name:HENDEN
Suffix:
Gender:
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6203 TYRE DR
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-6196
Mailing Address - Country:US
Mailing Address - Phone:805-813-1852
Mailing Address - Fax:
Practice Address - Street 1:1100 W CLARK ST
Practice Address - Street 2:
Practice Address - City:CONNELL
Practice Address - State:WA
Practice Address - Zip Code:99326-9700
Practice Address - Country:US
Practice Address - Phone:509-234-2021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA614797642355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant