Provider Demographics
NPI:1477080653
Name:MAHONEY, CHELSEA MARIE (MA)
Entity type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:MARIE
Last Name:MAHONEY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 SAN FERNANDO LN
Mailing Address - Street 2:
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-2234
Mailing Address - Country:US
Mailing Address - Phone:716-472-1289
Mailing Address - Fax:716-689-2916
Practice Address - Street 1:31 E MILNOR AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14218-3505
Practice Address - Country:US
Practice Address - Phone:716-462-8009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-18
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027515235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist