Provider Demographics
NPI:1063852499
Name:CHAPPELL, NONDI C (M ED CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:NONDI
Middle Name:C
Last Name:CHAPPELL
Suffix:
Gender:F
Credentials:M ED CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3141 BRIGHTON PASS
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30094-3357
Mailing Address - Country:US
Mailing Address - Phone:404-202-8490
Mailing Address - Fax:770-679-9344
Practice Address - Street 1:2395 WALL ST SE
Practice Address - Street 2:SUITE 190
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013-6703
Practice Address - Country:US
Practice Address - Phone:404-202-8490
Practice Address - Fax:770-679-9344
Is Sole Proprietor?:No
Enumeration Date:2013-06-29
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP001763235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist