Provider Demographics
NPI:1629272315
Name:CHAPIN, MARTHA HELEN (PHD LPC)
Entity Type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:HELEN
Last Name:CHAPIN
Suffix:
Gender:F
Credentials:PHD LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 WILKSHIRE DRIVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858
Mailing Address - Country:US
Mailing Address - Phone:252-744-6291
Mailing Address - Fax:252-744-6302
Practice Address - Street 1:4425 HEALTH SCIENCES BLDNG
Practice Address - Street 2:SAHS EAST CAROLINA UNIV DEPT REHAB STUDIES
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858
Practice Address - Country:US
Practice Address - Phone:252-744-6291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3460101YP2500X
MI6401000447101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional