Individual
CHELSEA ANN BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
801 N 11TH ST, SAINT LOUIS, MO 63101-1015
(314) 772-4242
Mailing address
801 N 11TH ST, SAINT LOUIS, MO 63101-1015
(314) 772-4242
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2016005733
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016005733
STATE LICENSE, BOARD OF HEALING ARTS
MO
Enumeration date
08/21/2012
Last updated
10/15/2021
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