Provider Demographics
NPI:1942475025
Name:CHAPMAN, KATHY LYNN (MSCCCSLP)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:LYNN
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:MSCCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 SOUTH MAIN STREET
Mailing Address - Street 2:WEBSTER COUNTY BOARD OF EDUCATION
Mailing Address - City:WEBSTER SPRINGS
Mailing Address - State:WV
Mailing Address - Zip Code:26288
Mailing Address - Country:US
Mailing Address - Phone:304-847-5638
Mailing Address - Fax:304-847-2538
Practice Address - Street 1:315 SOUTH MAIN STREET
Practice Address - Street 2:WEBSTER COUNTY SCHOOLS
Practice Address - City:WEBSTER SPRINGS
Practice Address - State:WV
Practice Address - Zip Code:26288
Practice Address - Country:US
Practice Address - Phone:304-847-5638
Practice Address - Fax:304-847-2538
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0155694000Medicaid