Provider Demographics
NPI:1922202076
Name:CHAPMAN, PAMELA L (LMFT)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:L
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 1:926 SANDBERG LN
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-7573
Mailing Address - Country:US
Mailing Address - Phone:805-216-3333
Mailing Address - Fax:
Practice Address - Street 1:926 SANDBERG LN
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-7573
Practice Address - Country:US
Practice Address - Phone:805-216-3333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC374101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical