Individual
AUDREI POWELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MZ, CCC-SLP
Contact information
Practice address
2504 A WHITIS, CMA 2.200, A1100, AUSTIN, TX 78712
(512) 471-3841
Mailing address
2504 A WHITIS, CMA 2.200, A1100, AUSTIN, TX 78712
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
106067
TX
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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