Most Relevant Information
Provider Data
| NPI Number: | 1003505082 |
| Provider Name: | KRISTEN MELISSA CHAVEZ-CANTRES M.S. CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SA13116 |
Most Important Dates
| Enumeration Date: | 05/04/2023 |
| Last Updated: | 05/04/2023 |
Provider Practice Location
1634 SALADINO ST SE
PALM BAY
FL
329095425
Practice Location Phone/Fax
| Phone: | 3216845439 |
| Fax: |
Provider Mailing Location
785 LUMINARY CIR UNIT 105
MELBOURNE
FL
329016636
Provider Mailing Phone/Fax
| Phone: | 8137844683 |
| Fax: |