BRENDA CHAN (NPI# 1306066709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306066709 |
| Entity Type | Individual |
| Full Name | BRENDA CHAN |
| Credential | SPEECH THERAPIST |
| Practice Address |
3401 Soldiers Home Rd. West Lafayette IN 47906 |
| Mailing Address |
2837 Henderson Ave. West Lafayette IN 47906-1540 |
| Practice Telephone | 7654631541 |
| Practice Fax Number | 7654970687 |
| Mailing Telephone | 7654970655 |
| Mailing Fax Number | 7654970655 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2012-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 22001474A | IN | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PIN # | 000000243264 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843093 | Brenda C Chan | Behavior Technician | 84 Parker St, Lowell, MA 01851-4011 | 2020-08-30 |
| 1487135190 | Brenda M Chan | Nurse Practitioner | 6816 Sultana Ave, San Gabriel, CA 91775-1527 | 2018-08-22 |
| 1114333085 | Brenda Chan | Behavioral Analyst | 1516 E Tropicana Ave Ste 137, Las Vegas, NV 89119-6552 | 2014-07-10 |
| 1538389648 | Brenda Moline Chan | Physical Therapist | 3500 Lomita Blvd, Suite M100, Torrance, CA 90505-5021 | 2007-04-30 |
| 1760588198 | Brenda Shang Chan | Internal Medicine | 30 Commerce Rd, Stamford, CT 06902-4550 | 2006-09-15 |
| Street Address |
3401 SOLDIERS HOME RD. |
| City | WEST LAFAYETTE |
| State | IN |
| Zip Code | 47906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386864809 | Emmanuel Rosana | Physical Therapist | 3401 Soldiers Home Rd., West Lafayette, IN 47906-1222 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457990848 | Wickshire West Lafayette Opco LLC | Assisted Living Facility | 3575 Senior Place, West Lafayette, IN 47906 | 2020-01-02 |
| 1992290530 | Cameron Eldred | Specialist/Technologist | 3367 Edison Dr, West Lafayette, IN 47906 | 2018-06-26 |
| 1720593403 | Devin Kay Hall | Specialist/Technologist | 900 John R. Wooden Drive, West Lafayette, IN 47906 | 2017-12-04 |
| 1609398270 | Christian Floirendo | Specialist/Technologist | 2225 Willowbrook Dr, #207, West Lafayette, IN 47906 | 2017-07-14 |
| 1699176800 | Leslie Michell Pell | Registered Nurse | 1873 Kingeider Drive, West Lafayette, IN 47906 | 2014-09-07 |
| 1881007581 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 2636 Us52 Sagamore Pkwy, West Lafayette, IN 47906 | 2014-06-10 |
| 1588089536 | Sarah Pierce | Pharmacist | 2636 Us 52, West Lafayette, IN 47906 | 2014-02-27 |
| 1811228240 | Angelica D. Kokkalis | Acupuncturist | 124 Westwood Dr., W. Lafayette, IN 47906 | 2010-01-25 |
| 1255529335 | Greater Lafayette Health Services | Clinic/Center | 3482 Mcclure Ave, West Lafayette, IN 47906 | 2007-10-15 |
| 1871784330 | Sally A Timmons LLC | Social Worker | 120 Sagamore Parkway West, West Lafayette, IN 47906 | 2007-08-08 |
| Find all providers in zip 47906 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225642192 | Grace Caruthers | Speech-Language Pathologist | 6138 Gallegos Dr, West Lafayette, IN 47906-5794 | 2020-09-08 |
| 1215583612 | Joyce Kosley Wasserman | Speech-Language Pathologist | 2801 Henderson St, West Lafayette, IN 47906-1540 | 2019-08-13 |
| 1720555378 | Compass Therapy, LLC | Speech-Language Pathologist | 1281 Win Hentschel Blvd, West Lafayette, IN 47906-4182 | 2018-10-31 |
| 1033638101 | Katie Bowsher | Speech-Language Pathologist | 1328 E 600 N, West Lafayette, IN 47906-9783 | 2017-09-11 |
| 1427451251 | Jamie Davis | Speech-Language Pathologist | 225 W Union Ave, West Lafayette, OH 43845-1150 | 2014-10-07 |
| 1396056537 | Traci Kay Powell | Speech-Language Pathologist | 2305 Fleming Dr, West Lafayette, IN 47906-5115 | 2010-06-22 |
| 1881911782 | Joy Lasuer | Speech-Language Pathologist | 6247 Munsee Dr, West Lafayette, IN 47906-7039 | 2010-05-01 |
| 1205062247 | Sue E Clemons | Speech-Language Pathologist | 3251 Jasper St, West Lafayette, IN 47906-1238 | 2009-06-04 |
| 1245470459 | Anna Matsuda Ladisch | Speech-Language Pathologist | 3295 Mendel Dr, West Lafayette, IN 47906-5177 | 2009-02-27 |
| 1811132293 | Malinda Jean Hibbert | Speech-Language Pathologist | 3141 Trego Ct, West Lafayette, IN 47906-8823 | 2008-12-12 |
| Find all providers in WEST LAFAYETTE | ||||
| City | WEST LAFAYETTE |
| Zip Code | 47906 |
Please comment or provide details below to improve the information on BRENDA CHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.