Provider Demographics
NPI:1861838765
Name:CHLAPOWSKI, SUSAN A (MA, MED, LMHC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:A
Last Name:CHLAPOWSKI
Suffix:
Gender:F
Credentials:MA, MED, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 MAIN ST STE 5
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:MA
Mailing Address - Zip Code:01562-2162
Mailing Address - Country:US
Mailing Address - Phone:774-345-0717
Mailing Address - Fax:
Practice Address - Street 1:152 MAIN ST STE 5
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:MA
Practice Address - Zip Code:01562-2162
Practice Address - Country:US
Practice Address - Phone:774-345-0717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-17
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8158101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health