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Kassidy Shaye Chandler, MS., CCC-SLP

Speech-Language Pathologist, in Dothan, AL. Individual provider (NPI-1).

NPI number1578093159
StatusActive
Last updated in NPPESOct 4, 2024

Details

NPI
1578093159
Entity type
Individual (NPI-1)
Name
Mrs. Kassidy Shaye Chandler
Credential
MS., CCC-SLP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 15, 2017
Certification date
Oct 4, 2024
Last updated
Oct 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,4257ALYes
235Z00000X Speech-Language Pathologist,SA16338FL

Other names

  • Kassidy Shaye Williams (Former Name)

Practice location

1347 W Main St
Dothan, AL 36301-1309

Phone 334-618-1764

Mailing address

1347 W Main St
Dothan, AL 36301-1309

Phone 334-618-1764 · Fax 334-746-7688

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