Provider Demographics
NPI:1134875701
Name:CHAPA, ELIZABETH (SLPA)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:CHAPA
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1721 GREENHOUSE RD APT 5311
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-8084
Mailing Address - Country:US
Mailing Address - Phone:832-851-9075
Mailing Address - Fax:
Practice Address - Street 1:2743 IMPERIA DRIVE
Practice Address - Street 2:SUITE 103
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479
Practice Address - Country:US
Practice Address - Phone:281-616-3839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX383582355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant