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Heather Nicole Chandler

Speech-Language Pathologist, in St Augustine, FL. Individual provider (NPI-1).

NPI number1750996807
StatusActive
Last updated in NPPESJul 8, 2024

Details

NPI
1750996807
Entity type
Individual (NPI-1)
Name
Mrs. Heather Nicole Chandler
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 14, 2020
Certification date
Jul 8, 2024
Last updated
Jul 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SZ12030FLYes

Practice location

805 Pine Island Rd
St Augustine, FL 32095-8557

Phone 904-547-4300

Mailing address

496 Bluejack Ln
St Augustine, FL 32095-9032

Phone 615-838-8843

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