Individual
CHELSEA E MACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17100 E SHEA BLVD, #225, FOUNTAIN HILLS, AZ 85268-6625
(480) 837-4565
Mailing address
13202 W GRANADA RD, GOODYEAR, AZ 85395-3189
(623) 640-5518
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP6696
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487985289
—
AZ
Enumeration date
01/19/2010
Last updated
10/10/2014
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