Provider Demographics
NPI:1558492413
Name:CHAPMAN, SUSAN B PARKER (SLP)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:B PARKER
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:PO BOX 1216
Mailing Address - Street 2:
Mailing Address - City:ELON
Mailing Address - State:NC
Mailing Address - Zip Code:27244-1216
Mailing Address - Country:US
Mailing Address - Phone:336-650-3889
Mailing Address - Fax:336-261-5490
Practice Address - Street 1:1120 ELON OSSIPEE RD
Practice Address - Street 2:
Practice Address - City:ELON
Practice Address - State:NC
Practice Address - Zip Code:27244-7502
Practice Address - Country:US
Practice Address - Phone:336-650-3889
Practice Address - Fax:336-261-5490
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC635235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist