Provider Demographics
NPI:1992190912
Name:CHAPPELL, ALEXIS JOAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:JOAN
Last Name:CHAPPELL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8580 MAGELLAN PKWY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-1149
Mailing Address - Country:US
Mailing Address - Phone:804-435-8670
Mailing Address - Fax:
Practice Address - Street 1:5818 HARBOUR VIEW BLVD STE B2
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-2785
Practice Address - Country:US
Practice Address - Phone:757-541-1111
Practice Address - Fax:757-541-1119
Is Sole Proprietor?:No
Enumeration Date:2015-04-06
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810005564103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist