Provider Demographics
NPI:1568783843
Name:UMBEL, CHESSY S (AUD)
Entity Type:Individual
Prefix:DR
First Name:CHESSY
Middle Name:S
Last Name:UMBEL
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:CHESSY
Other - Middle Name:S
Other - Last Name:SEEBOHM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:6770 MAYFIELD RD
Mailing Address - Street 2:SUITE NO. 210
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2299
Mailing Address - Country:US
Mailing Address - Phone:440-461-0766
Mailing Address - Fax:
Practice Address - Street 1:6770 MAYFIELD RD
Practice Address - Street 2:SUITE NO. 210
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124-2299
Practice Address - Country:US
Practice Address - Phone:440-461-0766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-21
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.01737231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist