Provider Demographics
NPI:1023321395
Name:CHAPMAN, LAURA CHRISTINE (AAS)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:CHRISTINE
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:AAS
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:CHRISTINE
Other - Last Name:FRANCIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AAS
Mailing Address - Street 1:104B E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-1924
Mailing Address - Country:US
Mailing Address - Phone:509-876-0555
Mailing Address - Fax:509-876-0556
Practice Address - Street 1:104B E MAIN ST
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362
Practice Address - Country:US
Practice Address - Phone:509-876-0555
Practice Address - Fax:509-876-0556
Is Sole Proprietor?:No
Enumeration Date:2010-07-15
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHA60091491237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist