Provider Demographics
NPI:1689551707
Name:LAUDICO, CHELSIE (TVI)
Entity type:Individual
Prefix:
First Name:CHELSIE
Middle Name:
Last Name:LAUDICO
Suffix:
Gender:F
Credentials:TVI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6320 OAK ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:ELBA
Mailing Address - State:NY
Mailing Address - Zip Code:14058-9729
Mailing Address - Country:US
Mailing Address - Phone:585-297-7526
Mailing Address - Fax:
Practice Address - Street 1:6320 OAK ORCHARD RD
Practice Address - Street 2:
Practice Address - City:ELBA
Practice Address - State:NY
Practice Address - Zip Code:14058-9729
Practice Address - Country:US
Practice Address - Phone:585-297-7526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency