Doctor Name: | DONNA D CHAUDRON |
NPI Number: | 1487823373 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | SP0000003345 |
Business Practice Address: | 332 East Springbrook Dr Suite 300 Johnson City, TN - 37604 |
Business Phone Number: | 4234838588 |
Business Fax Number: | 7348273858 |
Mailing Address: | 332 E Springbrook Dr, Suite 300 JOHNSON CITY |
State: | TN |
Postal Code: | 376011767 |
Phone Number: | 4234838588 |
Fax Number: | 7348273858 |
NPI Enumeration Date: | 02/25/2008 |
NPI Last Update Date: | 04/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP0000003345 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |