Provider Demographics
NPI:1629139423
Name:CHAPMAN, MICHELE (MA FAAA)
Entity Type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:MA FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 ELWYN ROAD
Mailing Address - Street 2:YAGO BUILDING SUITE B1
Mailing Address - City:ELWYN
Mailing Address - State:PA
Mailing Address - Zip Code:19063-4622
Mailing Address - Country:US
Mailing Address - Phone:610-891-2188
Mailing Address - Fax:610-891-7000
Practice Address - Street 1:111 ELWYN ROAD
Practice Address - Street 2:YAGO BUILDING SUITE B1
Practice Address - City:ELWYN
Practice Address - State:PA
Practice Address - Zip Code:19063-4622
Practice Address - Country:US
Practice Address - Phone:610-891-2216
Practice Address - Fax:610-891-7000
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000325L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01650350Medicaid
PA0461606000OtherBC HMO
PA1154157OtherKEYSTONE MERCY
PA01650350Medicaid