Provider Demographics
NPI:1093435398
Name:CHAVEZ MORA, SARA (MS)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:CHAVEZ MORA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1380 HIGH CHAPARRAL DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-7215
Mailing Address - Country:US
Mailing Address - Phone:775-742-5288
Mailing Address - Fax:775-851-9231
Practice Address - Street 1:1380 HIGH CHAPARRAL DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-7215
Practice Address - Country:US
Practice Address - Phone:775-742-5288
Practice Address - Fax:775-851-9231
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist