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NPI Code Detail

MEDICARE: DEANNA DECKER CHAVEZ MA-CCC/SLP

MEDICARE: DEANNA DECKER CHAVEZ MA-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 Pathologist104652TX

General Provider Information

NPI Number : 1013319557
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNA DECKER CHAVEZ MA-CCC/SLP
Provider Business Mailing Address
First Line : 224 ODESSA DR
Second Line :
City : HASLET
State : TX
Zip : 76052-4015
Country : US
Telephone Number : 972-872-0709
Fax Number :
Provider Business Practice Location Address
First Line : 190 CIVIC CIR STE 250
Second Line :
City : LEWISVILLE
State : TX
Zip : 75067-3648
Country : US
Telephone Number : 972-219-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2014
Last Update Date : 09/16/2014

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Directions to “ DEANNA DECKER CHAVEZ MA-CCC/SLP” Practice Location

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