Individual
CHELSEA RENE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
6036 WORRELL DR, FORT WORTH, TX 76133
(325) 725-1983
Mailing address
6036 WORRELL DR, FORT WORTH, TX 76133-2844
(325) 725-1983
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
109017
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149984001
—
TX
05
—
207164901
—
TX
Enumeration date
01/24/2013
Last updated
11/20/2018
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