Provider Demographics
NPI:1316465263
Name:SELENGUT, CHANA H (MA)
Entity type:Individual
Prefix:
First Name:CHANA
Middle Name:H
Last Name:SELENGUT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:CHANA
Other - Middle Name:H
Other - Last Name:MARX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2527 SHARON CT
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-2213
Mailing Address - Country:US
Mailing Address - Phone:862-290-0776
Mailing Address - Fax:
Practice Address - Street 1:2527 SHARON CT
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-2213
Practice Address - Country:US
Practice Address - Phone:862-290-0776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL013602235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist