Individual
CHELSEA RENE PETTIBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-SLP
Contact information
Practice address
188 JONES AVE, PORTSMOUTH, NH 03801-5516
(603) 431-2530
Mailing address
3 BRAZIER LN, KENNEBUNK, ME 04043-7095
(207) 985-3030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
144.0115359
VT
235Z00000X
Speech-Language Pathologist
Primary
1481
NH
235Z00000X
Speech-Language Pathologist
22006947A
IN
235Z00000X
Speech-Language Pathologist
SLP10659
AZ
235Z00000X
Speech-Language Pathologist
SP2394
ME
Other
Enumeration date
07/23/2012
Last updated
09/30/2019
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