Individual provider · NPI-1
Estefania Chavez, SLP
Speech-Language Pathologist, · Tempe, AZ
NPI number1942984976
StatusActive
Last updated in NPPESJun 11, 2024
Details
- NPI
- 1942984976
- Entity type
- Individual (NPI-1)
- Name
- Estefania Chavez
- Credential
- SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2023
- Certification date
- Jun 11, 2024
- Last updated
- Jun 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SLP14524 | AZ | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | TSLP14524 | AZ |
Practice location
1930 E Southern AveTempe, AZ 85282-7518
Phone 480-456-0719
Mailing address
1019 E Laguna DrTempe, AZ 85282-5549
Phone 623-238-5075
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