Provider Demographics
NPI:1669089678
Name:CHAPMAN, SARAH INEZ (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:INEZ
Last Name:CHAPMAN
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 1:1370 N FAIRFIELD RD STE G
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45432-2677
Mailing Address - Country:US
Mailing Address - Phone:937-210-4565
Mailing Address - Fax:833-561-2444
Practice Address - Street 1:1370 N FAIRFIELD RD
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45432-2675
Practice Address - Country:US
Practice Address - Phone:937-210-4565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-24
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOND.20201464-SP235Z00000X
OHSP.14577235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist