MEDICARE: AMANDA CHEVALIER

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
1	235Z00000X	Speech-Language Pathologist	105512	TX

General Provider Information

NPI Number	:	1225722424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA CHEVALIER

Provider Business Mailing Address
First Line	:	537 MEFFORD LN
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-3718
Country	:	US
Telephone Number	:	214-620-1188
Fax Number	:

Provider Business Practice Location Address
First Line	:	537 MEFFORD LN
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-3718
Country	:	US
Telephone Number	:	214-620-1188
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2023
Last Update Date	:	06/08/2023

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Directions to “ AMANDA CHEVALIER ” Practice Location

Language	Start Address	Practice Location

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