Provider Demographics
NPI:1649423500
Name:CHAPIN, BETH D (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:BETH
Middle Name:D
Last Name:CHAPIN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4536 BRENDA DR
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-0998
Mailing Address - Country:US
Mailing Address - Phone:972-874-0819
Mailing Address - Fax:
Practice Address - Street 1:4536 BRENDA DR
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-0998
Practice Address - Country:US
Practice Address - Phone:972-874-0819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102389235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist