Provider Demographics
NPI:1124877196
Name:CHENE, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:CHENE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6611 COMMERCE RD
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48324-2717
Mailing Address - Country:US
Mailing Address - Phone:248-266-1221
Mailing Address - Fax:248-671-5276
Practice Address - Street 1:6611 COMMERCE RD
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48324-2717
Practice Address - Country:US
Practice Address - Phone:248-266-1221
Practice Address - Fax:248-671-5276
Is Sole Proprietor?:No
Enumeration Date:2024-05-14
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7101009009235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist