Provider Demographics
NPI:1447373733
Name:DONAHUE, CHELSEY MCKINNEY (DOCTOR OF AUDIOLOGY)
Entity type:Individual
Prefix:DR
First Name:CHELSEY
Middle Name:MCKINNEY
Last Name:DONAHUE
Suffix:
Gender:F
Credentials:DOCTOR OF AUDIOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 17567
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32522-7567
Mailing Address - Country:US
Mailing Address - Phone:850-432-3467
Mailing Address - Fax:850-434-2308
Practice Address - Street 1:1717 N E ST STE 239
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-6390
Practice Address - Country:US
Practice Address - Phone:850-432-3467
Practice Address - Fax:850-434-2308
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD003701231H00000X
FLAY1274231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL023853600Medicaid