Individual
CHELISE PLENTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1007 EVERGREEN AVE, BRONX, NY 10472-5507
(718) 617-5169
Mailing address
1007 EVERGREEN AVE, BRONX, NY 10472-5507
(718) 617-5169
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
58023839
NY
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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