Chanel Lanete Richardson, CCC-SLP is a
Speech-language Pathologist based in Cordova, Tennessee. Chanel Lanete Richardson is licensed to practice in Tennessee (license number SP 0000004526) and her current practice location is
1986 Northport Rd Apt 2, Cordova, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(317) 937-6874.
NPI number for Chanel Lanete Richardson is 1669712360 and her current mailing address is 1389 Turkington Ct, Greenwood, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669712360.
Healthcare Provider's Profile
| Full Name | Chanel Lanete Richardson |
|---|
| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 1986 Northport Rd Apt 2, Cordova, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669712360
- Provider Enumeration Date: 02/18/2013
- Last Update Date: 12/18/2020
Medical Identifiers
Medical identifiers for Chanel Lanete Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669712360 | NPI | - | NPPES |
| SP 0000004526 | Other | TN | TENNESSEE STATE LICENSE FOR SPEECH LANGUAGE PATHOLOGY |
| 26029048A | Other | IN | PHARMACIST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 26029048A (Indiana) | Secondary |
| 235Z00000X | Speech-language Pathologist | SP 0000004526 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chanel Lanete Richardson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Chanel Lanete Richardson, CCC-SLP
1389 Turkington Ct,
Greenwood, IN 46143-5518
Ph: (317) 937-6874 | Chanel Lanete Richardson, CCC-SLP
1986 Northport Rd Apt 2,
Cordova, TN 38016-3880
Ph: (317) 937-6874 |
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