Provider Demographics
NPI:1346992716
Name:LACHAPELLE, JUDITH NATASHA (MCD CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:NATASHA
Last Name:LACHAPELLE
Suffix:
Gender:F
Credentials:MCD CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 SPRING HILL DR
Mailing Address - Street 2:
Mailing Address - City:ELLERSLIE
Mailing Address - State:GA
Mailing Address - Zip Code:31807-5798
Mailing Address - Country:US
Mailing Address - Phone:678-633-1384
Mailing Address - Fax:
Practice Address - Street 1:8920 GA HIGHWAY 85
Practice Address - Street 2:
Practice Address - City:WAVERLY HALL
Practice Address - State:GA
Practice Address - Zip Code:31831-2846
Practice Address - Country:US
Practice Address - Phone:678-633-1384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP007868235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist