Individual
AMY I. CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1120 NW 14TH ST RM 1210, MIAMI, FL 33136-2107
(305) 243-6660
Mailing address
1120 NW 14TH ST RM 1210, MIAMI, FL 33136-2107
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
ZZZQ00000X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLIED FOR #
—
FL
Enumeration date
12/16/2016
Last updated
01/20/2017
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