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NPI Code Detail

MEDICARE: DR. PHILIP JAMES CHAUVIN PSY.D LIC#33598

MEDICARE:  DR. PHILIP JAMES CHAUVIN  PSY.D LIC#33598
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
1103TC0700XClinical Psychologist33598TX

General Provider Information

NPI Number : 1780884288
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PHILIP JAMES CHAUVIN PSY.D LIC#33598
Provider Business Mailing Address
First Line : 1812 WINDING VW
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78260-7204
Country : US
Telephone Number : 830-438-1840
Fax Number :
Provider Business Practice Location Address
First Line : 1812 WINDING VW
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78260-7204
Country : US
Telephone Number : 830-438-1840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2007
Last Update Date : 10/29/2007

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Directions to “ DR. PHILIP JAMES CHAUVIN PSY.D LIC#33598” Practice Location

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