Wellformed AI

NPI 1679343560 · live from the CMS NPI Registry

Aaliyah Monique Chavis, Ed.S., NCSP

Psychologist, School in Springdale, AR. National Provider Identifier 1679343560, active.

NPI record

NPI1679343560 Type 1 · individual
StatusActive
Primary specialtyPsychologist, School 103TS0200X
Practice location409 N Thompson St, Springdale, AR 72764
Practice phone479-750-8880
Mailing address1384 N Izard Ln Apt 306, Fayetteville, AR 72704
EnumeratedJanuary 3, 2024
Last updatedJanuary 26, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Psychologist, School primary103TS0200X10097921 (AR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.