Individual
CHELSEA ILANA WERTHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
465 GRAND ST, NEW YORK, NY 10002-4800
(212) 420-1970
Mailing address
2829 43RD ST, APT. 2, ASTORIA, NY 11103-2110
(914) 443-5281
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
025821
NY
Other
Enumeration date
08/12/2015
Last updated
06/30/2016
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