Provider Demographics
NPI:1326281361
Name:CHAPLIN, MARTY U (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MARTY
Middle Name:U
Last Name:CHAPLIN
Suffix:
Gender:F
Credentials:MA CCC-SLP
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:719 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:SC
Mailing Address - Zip Code:29571-2517
Mailing Address - Country:US
Mailing Address - Phone:843-423-8335
Mailing Address - Fax:843-423-8314
Practice Address - Street 1:600 E NORTHSIDE AVE
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:SC
Practice Address - Zip Code:29571-2328
Practice Address - Country:US
Practice Address - Phone:843-423-8335
Practice Address - Fax:843-423-8314
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-07
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC2295235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist