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NPI Code Detail

MEDICARE: KATIE POWELL MS, CCC-SLP

MEDICARE: KATIE POWELL 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 Pathologist2202007547VA
2235Z00000XSpeech-Language Pathologist5033TN

General Provider Information

NPI Number : 1689075426
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE POWELL MS, CCC-SLP
Provider Business Mailing Address
First Line : 1260 GLEN ABBEY WAY
Second Line :
City : GRAY
State : TN
Zip : 37615-5221
Country : US
Telephone Number : 865-335-5867
Fax Number :
Provider Business Practice Location Address
First Line : 2214 E FAIRVIEW AVE
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37601-2860
Country : US
Telephone Number : 423-928-6464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2014
Last Update Date : 08/23/2023

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Directions to “ KATIE POWELL MS, CCC-SLP” Practice Location

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