Individual
TAE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
1100 MONO ST, FRESNO, CA 93706-3857
(559) 457-3010
Mailing address
5752 N SHERMAN AVE, FRESNO, CA 93710-6233
(559) 755-6270
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
CA
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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