Provider Demographics
NPI:1396016556
Name:CHAPLIN, ANDRE PETER (PSYD)
Entity type:Individual
Prefix:DR
First Name:ANDRE
Middle Name:PETER
Last Name:CHAPLIN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 415 BOX 7185
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09114-1072
Mailing Address - Country:US
Mailing Address - Phone:703-665-4114
Mailing Address - Fax:
Practice Address - Street 1:GRAFENWOEHR ARMY HEALTH CLINIC
Practice Address - Street 2:BUILDING 501
Practice Address - City:GRAFENWOEHR
Practice Address - State:NY
Practice Address - Zip Code:09114
Practice Address - Country:US
Practice Address - Phone:703-665-4114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-19
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1730103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIVAD000Medicare UPIN