Provider Demographics
NPI:1831758721
Name:CHASTAIN, TORI PAIGE (SLP)
Entity type:Individual
Prefix:MRS
First Name:TORI
Middle Name:PAIGE
Last Name:CHASTAIN
Suffix:
Gender:
Credentials:SLP
Other - Prefix:
Other - First Name:TORI
Other - Middle Name:PAIGE
Other - Last Name:MOSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:PO BOX 780
Mailing Address - Street 2:
Mailing Address - City:HAYESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28904-0780
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:324 AQUONE RD
Practice Address - Street 2:
Practice Address - City:ANDREWS
Practice Address - State:NC
Practice Address - Zip Code:28901-7003
Practice Address - Country:US
Practice Address - Phone:828-557-1284
Practice Address - Fax:828-237-4591
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-13
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14032235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty