Provider Demographics
NPI:1902287907
Name:MALONEY, CHELSEA (BA)
Entity Type:Individual
Prefix:MISS
First Name:CHELSEA
Middle Name:
Last Name:MALONEY
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34815 BIRCHGROVE DR APT C
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-4749
Mailing Address - Country:US
Mailing Address - Phone:313-899-8228
Mailing Address - Fax:
Practice Address - Street 1:34815 BIRCHGROVE DR APT C
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-4749
Practice Address - Country:US
Practice Address - Phone:313-899-8228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-15
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other