Individual
DANIELLE CHATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 AIRPORT FWY STE A, FORT WORTH, TX 76111
(682) 564-5476
Mailing address
2701 AIRPORT FWY STE A, FORT WORTH, TX 76111-2378
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
115030
TX
Other
Enumeration date
08/21/2017
Last updated
09/20/2018
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