Provider Demographics
NPI:1487207502
Name:MCCHESNEY, MICHELE (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:
Last Name:MCCHESNEY
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 RAMSEY RD
Mailing Address - Street 2:
Mailing Address - City:SANDY LAKE
Mailing Address - State:PA
Mailing Address - Zip Code:16145-4327
Mailing Address - Country:US
Mailing Address - Phone:856-889-8098
Mailing Address - Fax:
Practice Address - Street 1:474 BENNINGTON AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-3508
Practice Address - Country:US
Practice Address - Phone:330-744-6900
Practice Address - Fax:330-743-1157
Is Sole Proprietor?:No
Enumeration Date:2019-07-17
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIYS02808235Z00000X
OHSP.16167235Z00000X
PASL017942235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist