Individual
CHELSEA SHOOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
12300 APACHE AVE, APT 121, SAVANNAH, GA 31419-2312
(717) 816-8002
Mailing address
12300 APACHE AVE, APT 121, SAVANNAH, GA 31419-2312
(717) 816-8002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1363637
GEORGIA EDUCATOR CERTIFICATE, GEORGIA PROFESSIONAL STANDARDS COMMISSION
GA
Enumeration date
05/08/2014
Last updated
05/08/2014
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