Individual
CHAVEZ PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
500 8TH AVE, TERRE HAUTE, IN 47804-4072
(812) 231-8376
(812) 231-8208
Mailing address
400 POYDRAS ST, SUITE 1950, NEW ORLEANS, LA 70130-3245
(504) 322-3837
(504) 322-3847
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1257
LA
103T00000X
Psychologist
20043204A
IN
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
20043204A
IN
Other
Enumeration date
03/19/2014
Last updated
03/03/2020
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