Individual
CHANDLER ELIZABETH PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3880 PARKWOOD BLVD, FRISCO, TX 75034-1928
(972) 424-0148
Mailing address
1410 14TH ST, PLANO, TX 75074-6302
(972) 424-0148
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
113588
TX
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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