Provider Demographics
NPI:1669965265
Name:AJI, CHELSEA MARIE (AUD)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:MARIE
Last Name:AJI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:MARIE
Other - Last Name:REYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:720 W 34TH ST STE 110
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1202
Mailing Address - Country:US
Mailing Address - Phone:512-346-7600
Mailing Address - Fax:512-346-7603
Practice Address - Street 1:720 W 34TH ST STE 110
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1202
Practice Address - Country:US
Practice Address - Phone:512-346-7600
Practice Address - Fax:512-346-7603
Is Sole Proprietor?:No
Enumeration Date:2018-06-08
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00100300231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist