Provider Demographics
NPI:1265027247
Name:HILL-CHAPMAN, CRYSTAL (PHD, LP, NCSP, ABPP)
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:
Last Name:HILL-CHAPMAN
Suffix:
Gender:F
Credentials:PHD, LP, NCSP, ABPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 100547
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29502-0547
Mailing Address - Country:US
Mailing Address - Phone:843-661-1123
Mailing Address - Fax:
Practice Address - Street 1:201 W EVANS ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-3427
Practice Address - Country:US
Practice Address - Phone:184-366-1172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-02
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool