Provider Demographics
NPI:1366691214
Name:CHAPMAN, CASSANDRA M (SLP)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:M
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 HARVEY RD UNIT 6
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6818
Mailing Address - Country:US
Mailing Address - Phone:603-296-5241
Mailing Address - Fax:603-606-2443
Practice Address - Street 1:30 HARVEY RD UNIT 6
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6818
Practice Address - Country:US
Practice Address - Phone:603-296-5241
Practice Address - Fax:603-606-2443
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-16
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1204235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3071633Medicaid