Provider Demographics
NPI:1841409539
Name:CHAPMAN, LOUELLA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:LOUELLA
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3820 DEL AMO BLVD
Mailing Address - Street 2:STE. 348
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-2150
Mailing Address - Country:US
Mailing Address - Phone:310-902-9223
Mailing Address - Fax:260-572-3762
Practice Address - Street 1:3820 DEL AMO BLVD
Practice Address - Street 2:STE. 348
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-2150
Practice Address - Country:US
Practice Address - Phone:310-902-9223
Practice Address - Fax:260-572-3762
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC41179106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist