Provider Demographics
NPI:1548346430
Name:CHEN, JOSEPHINE K (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:JOSEPHINE
Middle Name:K
Last Name:CHEN
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 1:502 RIVER WEST
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06831-4157
Mailing Address - Country:US
Mailing Address - Phone:203-532-9579
Mailing Address - Fax:203-869-8289
Practice Address - Street 1:100 MELROSE AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-6257
Practice Address - Country:US
Practice Address - Phone:203-869-8272
Practice Address - Fax:203-869-8289
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001117235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist