Provider Demographics
NPI:1083988158
Name:DEVINS CHAPLICK, MARTY
Entity Type:Individual
Prefix:MS
First Name:MARTY
Middle Name:
Last Name:DEVINS CHAPLICK
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:MARTY
Other - Middle Name:DEVINS
Other - Last Name:CHAPLICK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:10965 GRANADA LN STE 106
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1412
Mailing Address - Country:US
Mailing Address - Phone:913-515-7769
Mailing Address - Fax:
Practice Address - Street 1:10965 GRANADA LN STE 106
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1412
Practice Address - Country:US
Practice Address - Phone:913-515-7769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS7387104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker