Provider Demographics
NPI:1689429441
Name:HAPP, CHELSEA MARIE (CCC-SLP)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:MARIE
Last Name:HAPP
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 PEARL DR
Mailing Address - Street 2:
Mailing Address - City:BUELLTON
Mailing Address - State:CA
Mailing Address - Zip Code:93427-9788
Mailing Address - Country:US
Mailing Address - Phone:559-760-4265
Mailing Address - Fax:
Practice Address - Street 1:1245 PEARL DR
Practice Address - Street 2:
Practice Address - City:BUELLTON
Practice Address - State:CA
Practice Address - Zip Code:93427-9788
Practice Address - Country:US
Practice Address - Phone:559-760-4265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30132235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist