Provider Demographics
NPI:1609599232
Name:CHAMESIAN, ANI NICOLE (CF-SLP)
Entity type:Individual
Prefix:
First Name:ANI
Middle Name:NICOLE
Last Name:CHAMESIAN
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:ANI
Other - Middle Name:NICOLE
Other - Last Name:JAVARDIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:152 MARC LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-3103
Mailing Address - Country:US
Mailing Address - Phone:267-746-1903
Mailing Address - Fax:
Practice Address - Street 1:152 MARC LN
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-3103
Practice Address - Country:US
Practice Address - Phone:267-746-1903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-20
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
NY034300235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist