Individual
TASHA CHEMPLAVIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
8000 BADURA AVE UNIT 1178, LAS VEGAS, NV 89113
(702) 339-5475
Mailing address
6624 ANGELINA ST, LAS VEGAS, NV 89120-2920
(702) 339-5475
(877) 741-9750
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1602
NV
235Z00000X
Speech-Language Pathologist
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669733218
—
AZ
Enumeration date
05/30/2012
Last updated
06/29/2018
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