Provider Demographics
NPI:1073824173
Name:CHAVEZ, JULIA YVETTE (MS,CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:YVETTE
Last Name:CHAVEZ
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4117 OKEEFE DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-1371
Mailing Address - Country:US
Mailing Address - Phone:915-342-0121
Mailing Address - Fax:
Practice Address - Street 1:4117 OKEEFE DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1371
Practice Address - Country:US
Practice Address - Phone:915-342-0121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-23
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103794235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist