Provider Demographics
NPI:1710385992
Name:CHAPMAN, ABIGAYLE ANNE CROSSLEY
Entity Type:Individual
Prefix:
First Name:ABIGAYLE
Middle Name:ANNE CROSSLEY
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4020 NW 20TH DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-1860
Mailing Address - Country:US
Mailing Address - Phone:904-314-7636
Mailing Address - Fax:
Practice Address - Street 1:4020 NW 20TH DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-1860
Practice Address - Country:US
Practice Address - Phone:904-314-7636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-20
Last Update Date:2014-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency