Provider Demographics
NPI:1972163673
Name:POWERS, CHELSEA M (AUD)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:M
Last Name:POWERS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:M
Other - Last Name:TATRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:325 NANCY CIR
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44212-1452
Mailing Address - Country:US
Mailing Address - Phone:440-865-0636
Mailing Address - Fax:
Practice Address - Street 1:10812 RAVENNA RD
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-1016
Practice Address - Country:US
Practice Address - Phone:330-405-0550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-17
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.02211231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist