Individual
MRS. DIANE CHAVIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC/SLP
Contact information
Practice address
5937 COVE RD, ROANOKE, VA 24019-2403
(540) 427-1879
Mailing address
1901 CANTERBURY RD SW, ROANOKE, VA 24015-3017
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001236
VA
Other
Enumeration date
11/10/2017
Last updated
11/10/2017
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