Doctor Name: | FELIPA CHAVEZ |
NPI Number: | 1487055570 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY-D |
License Number: | PY8227 |
Business Practice Address: | 404 E Main St Greentown, IN - 469361258 |
Business Phone Number: | 7656287400 |
Business Fax Number: | 7656287401 |
Mailing Address: | 150 W University Blvd, MELBOURNE |
State: | FL |
Postal Code: | 329016982 |
Phone Number: | 3216748106 |
Fax Number: | 3126748411 |
NPI Enumeration Date: | 09/09/2014 |
NPI Last Update Date: | 09/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY8227 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |