Individual
MS. JAIME LYNN CHIAVOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3305 US HIGHWAY 70 E, NEW BERN, NC 28560-6929
(252) 571-2078
(252) 637-4812
Mailing address
113 FALDO LN, NEW BERN, NC 28560-8938
(252) 571-2078
(252) 637-4812
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5758
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11998639
TRICARE
NC
01
—
141A9
BC
NC
05
—
7412399
—
NC
Enumeration date
03/30/2006
Last updated
03/18/2013
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