Provider Demographics
NPI:1124573670
Name:CHAPPETTA, JUSTINE LANGKOPP (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JUSTINE
Middle Name:LANGKOPP
Last Name:CHAPPETTA
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MS
Other - First Name:JUSTINE
Other - Middle Name:RAE
Other - Last Name:LANGKOPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:1011 N CAUSEWAY BLVD
Mailing Address - Street 2:SUITE 25
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:706 W. 28TH AVE (SCHOOL SYSTEM)
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433
Practice Address - Country:US
Practice Address - Phone:985-898-3311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-24
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7709235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist