Individual
MS. MAYA ELIZABETH CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
(505) 727-4700
Mailing address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4043
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12120733
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
—
01
—
LICENSE NO. 4043
REGULATION AND LICENSING DEPARTMENT, SPEECH-LANGUAGE PATHOLOGY, AUDIOLOGY BOARD
NM
Enumeration date
01/09/2012
Last updated
01/12/2012
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