Provider Demographics
NPI:1376272864
Name:CHIADO, ALI KENDALL (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:ALI
Middle Name:KENDALL
Last Name:CHIADO
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:ALI
Other - Middle Name:KENDALL
Other - Last Name:SHARPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CF-SLP
Mailing Address - Street 1:4000 CITY WALK WAY APT 33
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-5547
Mailing Address - Country:US
Mailing Address - Phone:540-556-0600
Mailing Address - Fax:
Practice Address - Street 1:339 WESTMINISTER DR
Practice Address - Street 2:
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939-2111
Practice Address - Country:US
Practice Address - Phone:540-949-8665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-09
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2204000937235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist