Provider Demographics
NPI:1235484015
Name:TRELOAR, CHALIS M (AUD, CCC-A, FAAA)
Entity Type:Individual
Prefix:DR
First Name:CHALIS
Middle Name:M
Last Name:TRELOAR
Suffix:
Gender:F
Credentials:AUD, CCC-A, FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 VALLEY WEST DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-3902
Mailing Address - Country:US
Mailing Address - Phone:515-223-4368
Mailing Address - Fax:515-453-2368
Practice Address - Street 1:105 VALLEY WEST DR
Practice Address - Street 2:SUITE 100
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-3939
Practice Address - Country:US
Practice Address - Phone:515-223-4368
Practice Address - Fax:515-453-2368
Is Sole Proprietor?:No
Enumeration Date:2012-07-18
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA2265231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist