Individual
AMBER M CHAVARRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASLP
Contact information
Practice address
6601 MONTANA AVE, SUITE G & H, EL PASO, TX 79925-2155
(915) 838-7604
Mailing address
501 URAL WAY, EL PASO, TX 79907-2617
(817) 433-0721
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
35566
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149984001
—
TX
Enumeration date
07/23/2010
Last updated
07/23/2010
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