Provider Demographics
NPI:1477726651
Name:CHAPATWALA, SHEILA MARIE (MA, CCC-A,FAAA)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:MARIE
Last Name:CHAPATWALA
Suffix:
Gender:F
Credentials:MA, CCC-A,FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 INDIGO DR
Mailing Address - Street 2:1A
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-3591
Mailing Address - Country:US
Mailing Address - Phone:732-234-6659
Mailing Address - Fax:
Practice Address - Street 1:470 NORTH AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-1738
Practice Address - Country:US
Practice Address - Phone:908-352-6700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-08
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00029300231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist