Provider Demographics
NPI:1811663636
Name:CHASTAIN, HALLIE LEEANN (MS, CF-SLP)
Entity type:Individual
Prefix:MRS
First Name:HALLIE
Middle Name:LEEANN
Last Name:CHASTAIN
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2760 E COUNTY ROAD 350 N
Mailing Address - Street 2:
Mailing Address - City:SULLIVAN
Mailing Address - State:IN
Mailing Address - Zip Code:47882-7551
Mailing Address - Country:US
Mailing Address - Phone:812-564-0492
Mailing Address - Fax:
Practice Address - Street 1:1 SISTERS OF PROVIDENCE
Practice Address - Street 2:
Practice Address - City:SAINT MARY OF THE WOODS
Practice Address - State:IN
Practice Address - Zip Code:47876-1002
Practice Address - Country:US
Practice Address - Phone:812-535-4001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist