Individual
MRS. JENNIFER LYNN CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
15802 N PARKVIEW PL, SURPRISE, AZ 85374-7466
(623) 876-7000
Mailing address
15802 N PARKVIEW PL, SURPRISE, AZ 85374-7466
(623) 876-7000
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA6328
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
866000520
—
AZ
Enumeration date
03/03/2010
Last updated
03/03/2010
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