Provider Demographics
NPI:1477327591
Name:FADLER, CHACEY LYNEE'
Entity type:Individual
Prefix:MRS
First Name:CHACEY
Middle Name:LYNEE'
Last Name:FADLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7790 N CHESLEY DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-9660
Mailing Address - Country:US
Mailing Address - Phone:573-228-1489
Mailing Address - Fax:
Practice Address - Street 1:740 CLEVELAND
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:MO
Practice Address - Zip Code:65275
Practice Address - Country:US
Practice Address - Phone:660-289-0980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-09
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant