Individual
CHELSEA MODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
602 ORCHARD AVE, ARROYO GRANDE, CA 93420-4000
(805) 474-3000
Mailing address
215 BEECHNUT ST, NIPOMO, CA 93444-5019
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41580
CA
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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