Provider Demographics
NPI:1942436183
Name:CHAPMAN, KALEA MARTIN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KALEA
Middle Name:MARTIN
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 S OAKLAND AVE
Mailing Address - Street 2:SUITE 216
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2043
Mailing Address - Country:US
Mailing Address - Phone:323-559-4800
Mailing Address - Fax:
Practice Address - Street 1:16 S OAKLAND AVE
Practice Address - Street 2:SUITE 216
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2043
Practice Address - Country:US
Practice Address - Phone:323-559-4800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY22202103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical