Provider Demographics
NPI:1841855970
Name:PUNT, CHANDRA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CHANDRA
Middle Name:
Last Name:PUNT
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 1:6013 REEF POINT LN STE 401
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76135-7028
Mailing Address - Country:US
Mailing Address - Phone:817-764-3825
Mailing Address - Fax:
Practice Address - Street 1:6013 REEF POINT LN STE 401
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76135-7028
Practice Address - Country:US
Practice Address - Phone:817-764-3825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-03
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist