Provider Demographics
NPI:1013922434
Name:CHATMAN, LARONDA MONIQUE (MA-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LARONDA
Middle Name:MONIQUE
Last Name:CHATMAN
Suffix:
Gender:F
Credentials:MA-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1478 SUNSHADOW DR
Mailing Address - Street 2:104
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-9012
Mailing Address - Country:US
Mailing Address - Phone:407-620-0269
Mailing Address - Fax:
Practice Address - Street 1:1478 SUNSHADOW DR
Practice Address - Street 2:104
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-9012
Practice Address - Country:US
Practice Address - Phone:407-620-0269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ3778235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist