Provider Demographics
NPI:1760961601
Name:CHAPMAN, ANNE-MARIE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANNE-MARIE
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:MARIE
Other - Last Name:RIZOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:2236 CALLANAN ST
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:WA
Mailing Address - Zip Code:98584-1904
Mailing Address - Country:US
Mailing Address - Phone:973-647-7344
Mailing Address - Fax:
Practice Address - Street 1:112 E SPENCER LAKE RD
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:WA
Practice Address - Zip Code:98584-7307
Practice Address - Country:US
Practice Address - Phone:360-426-9115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-10
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL60842537235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist