Provider Demographics
NPI:1174060354
Name:ZIMMERMAN, CHELSEA ALMA (MS CCC- SLP)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:ALMA
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:MS CCC- SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 W THOMAS AVE
Mailing Address - Street 2:
Mailing Address - City:HELLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18055-1536
Mailing Address - Country:US
Mailing Address - Phone:484-332-9315
Mailing Address - Fax:
Practice Address - Street 1:293 S HANCOCK ST
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18702-5709
Practice Address - Country:US
Practice Address - Phone:484-332-9315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-25
Last Update Date:2023-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1965235Z00000X
PASL012900235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty