Provider Demographics
NPI:1629505334
Name:BATES, CHELSEA MICHELLE (AUD)
Entity Type:Individual
Prefix:MISS
First Name:CHELSEA
Middle Name:MICHELLE
Last Name:BATES
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4130 GARRETT RD
Mailing Address - Street 2:APT 1035
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-2410
Mailing Address - Country:US
Mailing Address - Phone:330-312-1243
Mailing Address - Fax:
Practice Address - Street 1:2227 NELSON HIGHWAY
Practice Address - Street 2:SUITE 102
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517
Practice Address - Country:US
Practice Address - Phone:984-974-4479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-12
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1805021231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist