Provider Demographics
NPI:1215338249
Name:PISTELLO, CHELSAE ROBY (PSYD)
Entity type:Individual
Prefix:DR
First Name:CHELSAE
Middle Name:ROBY
Last Name:PISTELLO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5705 OAK VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45440-2325
Mailing Address - Country:US
Mailing Address - Phone:314-578-8453
Mailing Address - Fax:
Practice Address - Street 1:5705 OAK VALLEY RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45440-2325
Practice Address - Country:US
Practice Address - Phone:314-578-8453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-09
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist