Provider Demographics
NPI:1235694431
Name:CHAPMAN, ANGELA RENAEE (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:RENAEE
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:346 HEMLOCK HILLS DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-0224
Mailing Address - Country:US
Mailing Address - Phone:828-545-1093
Mailing Address - Fax:
Practice Address - Street 1:346 HEMLOCK HILLS DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-0224
Practice Address - Country:US
Practice Address - Phone:828-545-1093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-01
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12462235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1922595800Medicaid