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NPI Code Detail

MEDICARE: MRS. MICHELLE P POWERS MS, CCC-SLP

MEDICARE: MRS. MICHELLE P POWERS MS, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist2202004916VA

General Provider Information

NPI Number : 1194744888
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE P POWERS MS, CCC-SLP
Provider Business Mailing Address
First Line : 4016 RAINTREE RD
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23321-3700
Country : US
Telephone Number : 757-488-2864
Fax Number :
Provider Business Practice Location Address
First Line : 4016 RAINTREE RD
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23321-3700
Country : US
Telephone Number : 757-488-2864
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 10/16/2024

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Directions to “ MRS. MICHELLE P POWERS MS, CCC-SLP” Practice Location

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