Provider Demographics
NPI:1912291832
Name:CHAVARRIA, PAOLA (MA, SLP)
Entity Type:Individual
Prefix:MRS
First Name:PAOLA
Middle Name:
Last Name:CHAVARRIA
Suffix:
Gender:F
Credentials:MA, SLP
Other - Prefix:
Other - First Name:PAOLA
Other - Middle Name:CHAVARRIA
Other - Last Name:LEHMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, SLP
Mailing Address - Street 1:4718 HALLMARK DR
Mailing Address - Street 2:ATTN: PINNACLE THERAPY
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-3909
Mailing Address - Country:US
Mailing Address - Phone:713-622-2929
Mailing Address - Fax:
Practice Address - Street 1:4718 HALLMARK DR
Practice Address - Street 2:ATTN: PINNACLE THERAPY
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-3909
Practice Address - Country:US
Practice Address - Phone:713-622-2929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106684235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00W860OtherEMPLOYER MEDICARE UPIN
TX1962453258OtherEMPLOYER NPI