Healthcare Provider Details

I. General information

NPI: 1457270621
Provider Name (Legal Business Name): CHELSEA MARIE JOHNS MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 BISHOP RD
WICKLIFFE OH
44092-2518
US

IV. Provider business mailing address

13255 SPRUCE RUN DR APT 208
NORTH ROYALTON OH
44133-4290
US

V. Phone/Fax

Practice location:
  • Phone: 440-944-9400
  • Fax:
Mailing address:
  • Phone: 724-914-3706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: