Provider Demographics
NPI:1821686916
Name:LEVA, CHANTAL SILVANO (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CHANTAL
Middle Name:SILVANO
Last Name:LEVA
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 1:300 MAIN ST APT 313
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-1359
Mailing Address - Country:US
Mailing Address - Phone:201-919-4487
Mailing Address - Fax:
Practice Address - Street 1:300 MAIN ST APT 313
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07424-1359
Practice Address - Country:US
Practice Address - Phone:201-919-4487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00729400235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist