Provider Demographics
NPI:1891539235
Name:ERNST, CHANDLER CLOY (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CHANDLER
Middle Name:CLOY
Last Name:ERNST
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 BIG CYPRESS CT
Mailing Address - Street 2:
Mailing Address - City:RINCON
Mailing Address - State:GA
Mailing Address - Zip Code:31326-9397
Mailing Address - Country:US
Mailing Address - Phone:281-725-0846
Mailing Address - Fax:
Practice Address - Street 1:32 JOE KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458-3417
Practice Address - Country:US
Practice Address - Phone:912-344-9657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist