Provider Demographics
NPI:1275861486
Name:LEOPARD, GABRIELLE CHAPMAN (EDS)
Entity Type:Individual
Prefix:MRS
First Name:GABRIELLE
Middle Name:CHAPMAN
Last Name:LEOPARD
Suffix:
Gender:F
Credentials:EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 N SPRING ST
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29306-2309
Mailing Address - Country:US
Mailing Address - Phone:864-583-5969
Mailing Address - Fax:
Practice Address - Street 1:153 N SPRING ST
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29306-2309
Practice Address - Country:US
Practice Address - Phone:864-583-5969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-28
Last Update Date:2009-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4512106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist