Provider Demographics
NPI:1417029414
Name:CHAPMAN, JOEL W (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:W
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 S COOPER ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-5611
Mailing Address - Country:US
Mailing Address - Phone:901-844-4357
Mailing Address - Fax:901-844-4357
Practice Address - Street 1:1000 S COOPER ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-5611
Practice Address - Country:US
Practice Address - Phone:901-844-4357
Practice Address - Fax:901-844-4357
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP228103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical