Provider Demographics
NPI:1336323377
Name:CHAVANNE, HOPE MARIE (MED CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:HOPE
Middle Name:MARIE
Last Name:CHAVANNE
Suffix:
Gender:F
Credentials:MED CCC-SLP
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:50 EAST NORTH STREET
Mailing Address - Street 2:BUFFALO HEARING AND SPEECH CTR.
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203
Mailing Address - Country:US
Mailing Address - Phone:716-885-8318
Mailing Address - Fax:716-885-0229
Practice Address - Street 1:50 EAST NORTH STREET
Practice Address - Street 2:BUFFALO HEARING AND SPEECH CTR.
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203
Practice Address - Country:US
Practice Address - Phone:716-885-8318
Practice Address - Fax:716-885-0229
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY013073-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist