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NPI Code Detail

MEDICARE: JULIA YVETTE CHAVEZ MS,CCC-SLP

MEDICARE:   JULIA YVETTE CHAVEZ  MS,CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist103794TX

General Provider Information

NPI Number : 1073824173
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA YVETTE CHAVEZ MS,CCC-SLP
Provider Business Mailing Address
First Line : 4117 OKEEFE DR
Second Line :
City : EL PASO
State : TX
Zip : 79902-1371
Country : US
Telephone Number : 915-342-0121
Fax Number :
Provider Business Practice Location Address
First Line : 4117 OKEEFE DR
Second Line :
City : EL PASO
State : TX
Zip : 79902-1371
Country : US
Telephone Number : 915-342-0121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2010
Last Update Date : 12/15/2021

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Directions to “ JULIA YVETTE CHAVEZ MS,CCC-SLP” Practice Location

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