Individual
CHASTITY SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
17100 E SHEA BLVD STE 600, FOUNTAIN HILLS, AZ 85268-6663
(314) 560-8713
Mailing address
17100 E SHEA BLVD STE 600, FOUNTAIN HILLS, AZ 85268-6663
(314) 560-8713
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP14739
AZ
235Z00000X
Speech-Language Pathologist
Primary
TSLP14739
AZ
235Z00000X
Speech-Language Pathologist
—
AZ
Other
Enumeration date
06/12/2023
Last updated
08/28/2024
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