Provider Demographics
NPI:1023330115
Name:CHAAPEL, ANGELA K (MS, BSL)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:K
Last Name:CHAAPEL
Suffix:
Gender:F
Credentials:MS, BSL
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:K
Other - Last Name:BOATWRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:109 CRAIG RD
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:PA
Mailing Address - Zip Code:17847-8957
Mailing Address - Country:US
Mailing Address - Phone:570-713-4517
Mailing Address - Fax:
Practice Address - Street 1:109 CRAIG RD
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:PA
Practice Address - Zip Code:17847-8957
Practice Address - Country:US
Practice Address - Phone:570-713-4517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-17
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH002946101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007777400036Medicaid